Individual
ALYSSA LYNN BOINAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
4330 PONTIFF ST, WATERFORD, MI 48329-1551
(248) 533-6930
Mailing address
4330 PONTIFF ST, WATERFORD, MI 48329-1551
(248) 533-6930
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801116006
MI
1041C0700X
Clinical Social Worker
6851106951
MI
Other
Enumeration date
01/26/2022
Last updated
04/25/2023
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