MARVIN LEE BOUSKA

RAPID CITY, SD
NPI1730207952
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: SD  191)
Enumeration Date2007-03-26
Last Update Date2013-04-25
Business Address
-- MARVIN LEE BOUSKA MS
1818 W FULTON ST SUITE 201
RAPID CITY, SD 57702-4377
Phone number: 605-348-6500
Mailing Address
-- MARVIN LEE BOUSKA MS
1818 W FULTON ST SUITE 201
RAPID CITY, SD 57702
Phone number: