Individual
SUSAN M BOEGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
4232 198TH ST SW, LYNNWOOD, WA 98036-6747
(425) 248-4900
(425) 248-4703
Mailing address
622 87TH AVE SE, LAKE STEVENS, WA 98258-3673
(425) 327-9128
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60750249
WA
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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