Individual
JEANINE BOYKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
33 LAKE HERITAGE RD, LAUREL, MS 39443-8544
(601) 705-1901
Mailing address
33 LAKE HERITAGE RD, LAUREL, MS 39443-8544
(601) 705-1901
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
C8044
MS
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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