Provider Information for 1366698722
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Mr. JOSEPH D. BOIVIN LPC/LADC/CHES
Sex: Male
NPI: 1366698722
Last Updated: 2024-08-28
Certification Date: 2024-08-28
Certification Date: 2024-08-28
Details
Name | Value | ||||||||||||
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NPI | 1366698722 | ||||||||||||
Enumeration Date | 2008-08-16 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 995 DAY HILL RD WINDSOR, CT 06095-1722 United States Phone: 860-731-5522 | Fax:860-731-5536 | ||||||||||||
Primary Practice Address | 16 MAIN ST ELLINGTON, CT 06029-3360 United States Phone: 860-871-5402 | Fax:860-871-5413 | ||||||||||||
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