KEITH DEUGAN

BOISE, ID
NPI1942853197
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID  11663)
Enumeration Date2019-07-17
Last Update Date2019-07-17
Business Address
KEITH DEUGAN CADC
7941 W RIFLEMAN ST
BOISE, ID 83704-9001
Phone number: 208-895-7950
Mailing Address
KEITH DEUGAN CADC
7941 W RIFLEMAN ST
BOISE, ID 83704-9001
Phone number:
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