| NPI | 1184104010 |
|---|---|
| Other Name | PEGGY PAUKEN-BOLDUC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.172796) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.166043) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2022-09-15 |