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Individual
MR. SAMUEL HENRY BOYD JR.
Active
Individual
MR. SAMUEL HENRY BOYD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW, LICDC-CS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
965723
OH
104100000X
Social Worker
S-0015831
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y60000X
—
OH
05
—
101YA0400X
—
OH
05
—
104100000X
—
OH
Enumeration date
04/10/2017
Last updated
04/10/2017
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