Individual
IRENE D. BUGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
15245 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(651) 213-4184
(651) 213-4411
Mailing address
15245 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(651) 213-4184
(651) 213-4411
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
LP0701
MN
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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