Individual
MRS. JENNIFER NICOLE BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
1108 N WHEELER AVE, SALLISAW, OK 74955-2227
(918) 775-5513
Mailing address
102438 S 4621 RD, SALLISAW, OK 74955-8991
(918) 315-1421
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/04/2013
Last updated
01/14/2019
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