Individual
MARIANNE BOYKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1112 DORROLL ST NE, GRAND RAPIDS, MI 49505-4318
(815) 543-7698
Mailing address
1112 DORROLL ST NE, GRAND RAPIDS, MI 49505-4318
(815) 543-7698
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012690
MI
Other
Enumeration date
11/10/2013
Last updated
11/10/2013
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