Individual
MRS. LORI W BOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
340 NE MAPLE ST, PULLMAN, WA 99163-4120
(509) 334-1133
(509) 332-1608
Mailing address
340 NE MAPLE ST, PULLMAN, WA 99163-4120
(509) 334-1133
(509) 332-1608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005946
WA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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