Provider Information for 1083213367
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GWENDOLYN BOYD-MCGHEE LCDC
Sex: Female
NPI: 1083213367
Last Updated: 2022-03-11
Certification Date: 2022-03-11
Certification Date: 2022-03-11
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1083213367 | ||||||||||||
| Enumeration Date | 2020-10-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2616 S CLACK ST ABILENE, TX 79606-1557 United States Phone: 325-690-5100 | Fax: | ||||||||||||
| Primary Practice Address | 2626 S CLACK ST ABILENE, TX 79606-1557 United States Phone: 325-690-5100 | Fax: | ||||||||||||
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