MARK R BOOTH

INDIANAPOLIS, IN
NPI1821072810
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34000647A)
Enumeration Date2005-12-02
Last Update Date2007-10-12
Business Address
-- MARK R BOOTH LCSW
8401 HARCOURT RD
INDIANAPOLIS, IN 46260-2036
Phone number: 317-338-4600
Mailing Address
-- MARK R BOOTH LCSW
10330 N MERIDIAN ST SUITE 201
INDIANAPOLIS, IN 46290-1024
Phone number: