Individual
TAYLOR BOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
SOUTH 70TH ST, FORT SMITH, AR 72903
(479) 478-6664
Mailing address
SOUTH 70TH ST, FORT SMITH, AR 72903
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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