ANTHONY HOWARD BOOTH

BRAINERD, MN
NPI1669173027
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  305975)
Enumeration Date2023-03-13
Last Update Date2023-07-14
Business Address
ANTHONY HOWARD BOOTH MA, LADC
1822 OAK ST
BRAINERD, MN 56401-3857
Phone number: 612-505-0768
Mailing Address
ANTHONY HOWARD BOOTH MA, LADC
411 FRONT ST
BRAINERD, MN 56401-3516
Phone number: 612-505-0768
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