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Individual

MISS JOHANNA NICOLE BOYD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
102 23RD AVE SE, PUYALLUP, WA 98372-4501
(253) 365-7290
(253) 987-7223
Mailing address
4227 S MERIDIAN STE C223, PUYALLUP, WA 98373-3603
(253) 365-7290
(253) 987-7223

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60247677
WA
106H00000X
Marriage & Family Therapist
MG60117140
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1447811419
GROUP NPI
05
2140045
WA
Enumeration date
09/11/2008
Last updated
01/22/2020
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