Organization
JUSTEN BOYD LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTEN BOYD (LICENSED CLINICAL SOCIAL WORKER)
(331) 248-5128
Entity
Organization
Contact information
Practice address
1648 W 21ST ST, CHICAGO, IL 60608-5227
(331) 248-5128
Mailing address
1648 W 21ST ST, CHICAGO, IL 60608-5227
(331) 248-5128
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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