GRANT BOOTH PA DBA BOOTH THERAPY

SAINT PAUL, MN
NPI1861915001
Entity TypeOrganization
Authorized ContactGRANT EDWARD BOOTH
Therapist/Clinical Social Worker
651-690-1542
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2017-07-19
Last Update Date2022-07-21
Business Address
GRANT BOOTH PA DBA BOOTH THERAPY
1499 LINCOLN AVE
SAINT PAUL, MN 55105-2236
Phone number: 651-690-1542
Mailing Address
GRANT BOOTH PA DBA BOOTH THERAPY
1499 LINCOLN AVE
SAINT PAUL, MN 55105-2236
Phone number: 651-690-1542
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