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Individual

MARTHA JOLENE BOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., LPC

Contact information

Practice address
620 E 18TH ST, KANSAS CITY, MO 64108-1510
(816) 445-4285
Mailing address
620 E 18TH ST, KANSAS CITY, MO 64108-1510
(816) 445-4285

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2002006846
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2002006846
LICENSED PROF. COUNSELOR
MO
Enumeration date
03/08/2007
Last updated
07/08/2007
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