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1821072810
MARK R BOOTH
INDIANAPOLIS, IN
NPI
1821072810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34000647A)
Enumeration Date
2005-12-02
Last Update Date
2007-10-12
Business Address
-- MARK R BOOTH LCSW
8401 HARCOURT RD
INDIANAPOLIS, IN 46260-2036
Phone number: 317-338-4600
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Mailing Address
-- MARK R BOOTH LCSW
10330 N MERIDIAN ST SUITE 201
INDIANAPOLIS, IN 46290-1024
Phone number:
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