Individual
MS. KELLY JO BOEVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 393-5698
(616) 393-5687
Mailing address
12265 JAMES ST, HOLLAND, MI 49424-8613
(616) 393-5698
(616) 393-5687
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
6301011390
MI
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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