Jo Ann Booth, lcsw
Social Worker, Clinical in Saint Charles, MO. Individual provider (NPI-1).
NPI number1598845877
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1598845877
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jo Ann Booth
- Credential
- lcsw
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 004635 | MO | Yes |
Practice location
200 S Kingshighway StSaint Charles, MO 63301-1637
Phone 636-949-2650 · Fax 636-949-2650
Mailing address
200 S Kingshighway StSaint Charles, MO 63301-1637
Phone 636-949-2650 · Fax 636-949-2650
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