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Individual

MS. JENNIFER JANICE BOGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDP

Contact information

Practice address
3629 S D ST, TACOMA, WA 98418-6813
(253) 798-4618
(253) 798-2935
Mailing address
3629 S D ST, TACOMA, WA 98418-6813
(253) 798-4618
(253) 798-2935

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60905974
WA

Other

Enumeration date
10/09/2019
Last updated
10/09/2019
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