TEDDY BOOTH II, LCSW

Social Worker - Clinical

Active Individual
NPI: 1215160403

Practice Address

109 W WATAUGA AVE
Johnson City, TN 37604

Phone: (423) 232-2600

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 3367 (TN)

Frequently Asked Questions

NPI 1215160403 is the National Provider Identifier for TEDDY BOOTH II, LCSW, a Social Worker - Clinical provider located in Johnson City, TN. This NPI was enumerated on September 3, 2009.
TEDDY BOOTH II, LCSW practices at 109 W WATAUGA AVE, Johnson City, TN 37604.

Quick Facts

NPI
1215160403
Type
Individual
Enumerated
Sep 3, 2009
Last Updated
Nov 11, 2009

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