GARY L. GROGAN

LEWISTON, ID
NPI1508264995
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: ID  PSY-203016)
Enumeration Date2014-12-17
Last Update Date2022-07-21
Business Address
DR. GARY L. GROGAN PHD
633 MAIN STREET B#1
LEWISTON, ID 83501
Phone number: 208-724-0489
Mailing Address
DR. GARY L. GROGAN PHD
633 MAIN STREET B#1
LEWISTON, ID 83501
Phone number: 208-724-0489
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