Organization
APPALACHIAN FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY L BOSTON PSY.D. (DIRECTOR)
(740) 591-3000
Entity
Organization
Contact information
Practice address
503 2ND AVE, GALLIPOLIS, OH 45631-1218
(740) 591-3000
Mailing address
1838 LOVELY LN, LETART, WV 25253-9693
(740) 591-3000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6843
OH
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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