WALTER ALBERT BOGUCKI

NAMPA, ID
NPI1104259027
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  10067)
Enumeration Date2013-08-14
Last Update Date2013-08-14
Business Address
-- WALTER ALBERT BOGUCKI CADC
508 E FLORIDA AVE
NAMPA, ID 83686-5823
Phone number: 208-463-0118
Mailing Address
-- WALTER ALBERT BOGUCKI CADC
508 E FLORIDA AVE
NAMPA, ID 83686-5823
Phone number: 208-463-0118
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