Traci Booth, LMSW Valid NPI
Individual provider · Case Manager/Care Coordinator · Manhattan, KS
- NPI
- 1558641068
- Type
- Individual (Type 1)
- Primary specialty
- Case Manager/Care Coordinator
- Specialty group
- Other Service Providers
- Taxonomy code
- 171M00000X
- License number
- 7780 (KS)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2011-08-29
- Last updated
- 2011-08-29
Practice location
3000 Tuttle Creek Blvd Lot 341
Manhattan, KS 66502-7109
(785) 341-5985