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1790982403
LEAH KATHERINE BOOTH
JACKSON, TN
NPI
1790982403
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-06-27
Last Update Date
2007-07-08
Business Address
MS. LEAH KATHERINE BOOTH BSW
24 WEATHERFORD SQ
JACKSON, TN 38305-2202
Phone number: 731-660-6760
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Mailing Address
MS. LEAH KATHERINE BOOTH BSW
24 REVERE CIR APT. #14
JACKSON, TN 38305-5407
Phone number: 731-394-9966
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