Individual
MARI BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
8669 EAGLE POINT BLVD, LAKE ELMO, MN 55042-8628
(651) 379-0444
(651) 379-0448
Mailing address
8669 EAGLE POINT BLVD, LAKE ELMO, MN 55042-8628
(651) 379-0444
(651) 379-0448
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1347
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245220136
—
MN
01
—
247634
COMPSYCH
MN
01
—
292L9TO
BCBS ID#
MN
Enumeration date
10/24/2005
Last updated
12/23/2011
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