SAGE BOSCH

MEDFORD, OR
NPI1437512449
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  R5357)
Enumeration Date2016-03-29
Last Update Date2016-03-29
Business Address
-- SAGE BOSCH
1003 E MAIN ST # 104
MEDFORD, OR 97504-7448
Phone number: 541-779-1282
Mailing Address
-- SAGE BOSCH
1003 E MAIN ST # 104
MEDFORD, OR 97504-7448
Phone number: 541-779-1282
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