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1972778793
MARY VICTORIA BOOTH
SACRAMENTO, CA
NPI
1972778793
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCS6313)
Enumeration Date
2008-04-23
Last Update Date
2010-10-05
Business Address
-- MARY VICTORIA BOOTH LCSW
2015 21ST ST 104
SACRAMENTO, CA 95818-1752
Phone number: 916-451-0310
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Mailing Address
-- MARY VICTORIA BOOTH LCSW
2015 21ST ST 104
SACRAMENTO, CA 95818-1752
Phone number: 916-451-0310
Copy
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