Individual
MADISON BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 N HIGH ST, LANSING, MI 48906-4529
(517) 372-4700
Mailing address
1717 N HIGH ST, LANSING, MI 48906-4529
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1700901964
MI
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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