Laura Lynn Booth, LCSW
Social Worker, Clinical in Snellville, GA. Individual provider (NPI-1).
NPI number1891273876
StatusActive
Last updated in NPPESApr 19, 2022
Details
- NPI
- 1891273876
- Entity type
- Individual (NPI-1)
- Name
- Laura Lynn Booth
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2018
- Certification date
- Apr 19, 2022
- Last updated
- Apr 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW007732 | GA | Yes |
| 104100000X | Social Worker | MSW006946 | GA |
Practice location
1850 Rockside LnSnellville, GA 30078-6418
Phone 404-375-6985
Mailing address
1850 Rockside LnSnellville, GA 30078-6418
Phone 404-375-6985
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