Individual
JOSEPH GREGORY BOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, CEAP, SAP
Contact information
Practice address
5200 WILLSON RD STE 150, EDINA, MN 55424-1300
(651) 428-5394
Mailing address
8769 JEWEL AVE S, COTTAGE GROVE, MN 55016-4909
(651) 428-5394
(612) 349-0303
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12295
MN
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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