Individual
MICHAEL BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
828 VERDUN WAY SW, MARIETTA, GA 30064-1591
(678) 622-5618
Mailing address
828 VERDUN WAY SW, MARIETTA, GA 30064-1591
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW007008
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000
NONE
—
Enumeration date
07/11/2019
Last updated
07/11/2019
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