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Organization
SUPERTHERAPY
Active
Organization
SUPERTHERAPY
Active
Other names
Supertherapy, Michael Boyce
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOYCE (CLINICAL COUNSELOR)
(234) 212-8254
Entity
Organization
Contact information
Practice address
59 S LAKE ST, MADISON, OH 44057-3245
(234) 212-8254
Mailing address
59 S LAKE ST, MADISON, OH 44057-3245
(234) 212-8254
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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