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Individual
RICHARD BOGGESS
Active
Individual
RICHARD BOGGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LCAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
87000386A
IN
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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