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Individual

DR. ALISON BOUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1700 BURLEIGH ST, YANKTON, SD 57078-2418
(605) 260-9284
Mailing address
1700 BURLEIGH ST, YANKTON, SD 57078-2418
(605) 260-9284

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
083869
IA
101YM0800X
Mental Health Counselor
Primary
20182
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518116110
SD
Enumeration date
02/05/2020
Last updated
02/05/2020
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