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Organization

MARTHA J. BOYD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA JOLENE BOYD M.S.,LPC (FAMILY THERAPIST)
(816) 916-4060
Entity
Organization

Contact information

Practice address
4739 BELLEVIEW AVE, SUITE 305, KANSAS CITY, MO 64112-1385
(816) 916-4060
Mailing address
6410 SUMMIT ST, KANSAS CITY, MO 64113-1558

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002006846
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
498776319
MO
Enumeration date
03/29/2007
Last updated
01/18/2010
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