Individual
GRACIE MARIE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2740 N CLARKSON ST, FREMONT, NE 68025-7702
(402) 562-7500
Mailing address
4321 41ST AVE, COLUMBUS, NE 68601-2131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14333
NE
Other
Enumeration date
04/07/2025
Last updated
04/18/2025
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