Individual
TA'ERRA JALISA BOYKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 SUPERIOR AVE STE 1300, CLEVELAND, OH 44114-2654
(646) 941-7645
(929) 596-7897
Mailing address
900 MULL AVE, AKRON, OH 44313-7502
(330) 867-5603
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.2505522
OH
Other
Enumeration date
03/11/2019
Last updated
12/05/2025
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