Individual
BRIANNA BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7227 MADISON ST, FOREST PARK, IL 60130-1726
(920) 658-5507
Mailing address
6016 S MCVICKER AVE, CHICAGO, IL 60638-4324
(920) 658-5507
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.015108
IL
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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