JACK H BOOTH

SUMMERVILLE, SC
NPI1548291842
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: SC  2674)
Enumeration Date2006-07-05
Last Update Date2007-07-08
Business Address
-- JACK H BOOTH Psy.D, LPC
709 OLD TROLLEY RD
SUMMERVILLE, SC 29485-5203
Phone number: 843-821-2480
Mailing Address
-- JACK H BOOTH Psy.D, LPC
709 OLD TROLLEY RD
SUMMERVILLE, SC 29485-5203
Phone number: 843-821-2480
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