Individual
WINONA BOADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11386 158TH ROAD, MAYETTA, KS 66509
(785) 966-8367
Mailing address
11386 158TH ROAD, MAYETTA, KS 66509
(785) 966-8367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAC01955
KS
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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