MIGUEL ANGEL MOUW

BOISE, ID
NPI1205182912
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  1360009)
Enumeration Date2012-07-31
Last Update Date2012-07-31
Business Address
-- MIGUEL ANGEL MOUW ICADC
205 OAKHURST WAY
BOISE, ID 83709-0534
Phone number: 208-353-5846
Mailing Address
-- MIGUEL ANGEL MOUW ICADC
205 OAKHURST WAY
BOISE, ID 83709-0534
Phone number: 208-353-5846
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