Lucas Sidney Booth
Lucas Sidney Booth is a Counselor in Jamaica Plain, Massachusetts. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
157 Green StJamaica Plain, MA 02130-2667
Phone: (617) 524-1120
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1891335667 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 9, 2020 |
| Last updated in NPPES | January 9, 2020 |
| Certification date | January 9, 2020 |
| Mailing address | 157 Green St, Jamaica Plain, MA 02130-2667 |
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