MARY HANSEN BOAL

EVANSTON, WY
NPI1245622836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY  LAT-195)
Enumeration Date2015-02-19
Last Update Date2015-02-19
Business Address
Ms. MARY HANSEN BOAL LAT, NCACII, BSW
77 COUNTY RD 109
EVANSTON, WY 82930-2543
Phone number: 307-783-1088
Mailing Address
Ms. MARY HANSEN BOAL LAT, NCACII, BSW
1013 CHEYENNE DRIVE SUITE A
EVANSTON, WY 82930-2543
Phone number: 307-783-1088
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