Individual
MS. JANICE MARY BOYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSLP
Contact information
Practice address
710 SOUTH 2ND ST., MANKATO, MN 56001-3857
(507) 625-7660
(507) 625-8998
Mailing address
710 SOUTH 2ND ST., MANKATO, MN 56001-3857
(507) 625-7660
(507) 625-8998
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP3944
MN
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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