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1831693290
BLUE GREGORY BOYER
WATERLOO, IA
NPI
1831693290
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 18031)
Enumeration Date
2018-03-21
Last Update Date
2018-07-03
Business Address
BLUE GREGORY BOYER BA, CADC
3362 UNIVERSITY AVE.
WATERLOO, IA 50701
Phone number: 319-235-6571
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Mailing Address
BLUE GREGORY BOYER BA, CADC
3362 UNIVERSITY AVE
WATERLOO, IA 50701-2006
Phone number: 319-235-6571
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