Individual
BRANDY BOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P-960
Contact information
Practice address
425 N OAK ST, NORTH PLATTE, NE 69101-3764
(308) 532-8300
Mailing address
425 N OAK ST, NORTH PLATTE, NE 69101-3764
(308) 532-8300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-960
NE
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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