KENNETH BOGGIE

COBURG, OR
NPI1689114175
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  161102)
Enumeration Date2017-03-02
Last Update Date2017-03-02
Business Address
-- KENNETH BOGGIE CADC I
1 SERENITY LANE
COBURG, OR 97408
Phone number: 541-284-5695
Mailing Address
-- KENNETH BOGGIE CADC I
PO BOX 8549
COBURG, OR 97408-1313
Phone number: 541-284-5695
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