BRYAN G BUMGARNER

BOISE, ID
NPI1053646414
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  30983)
Enumeration Date2009-10-02
Last Update Date2023-01-11
Business Address
BRYAN G BUMGARNER LCSW
500 W FORT ST B-114
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
BRYAN G BUMGARNER LCSW
500 W FORT ST B-114/RIVER ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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