Individual
JORDAN ALEXANDER BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8464
Mailing address
502 W ILLINOIS ST APT 1, URBANA, IL 61801-7921
(708) 341-8713
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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