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1649667015
TINA LYNN BOOTH
SALEM, VA
NPI
1649667015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904007937)
Enumeration Date
2015-04-23
Last Update Date
2015-06-08
Business Address
-- TINA LYNN BOOTH LCSW
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
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Mailing Address
-- TINA LYNN BOOTH LCSW
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
Copy
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