GRANT EDWARD BOOTH

SAINT PAUL, MN
NPI1972504728
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MN  10829)
Enumeration Date2005-08-02
Last Update Date2007-07-08
Business Address
-- GRANT EDWARD BOOTH MSW, LICSW, ACSW
1499 LINCOLN AVE
SAINT PAUL, MN 55105-2236
Phone number: 651-690-1542
Mailing Address
-- GRANT EDWARD BOOTH MSW, LICSW, ACSW
1499 LINCOLN AVE
SAINT PAUL, MN 55105-2236
Phone number: 651-690-1542
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