Individual
MARY MARGARET BOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3235 SPARKS RD, SUITE 200, CHEYENNE, WY 82001-6151
(307) 638-8975
(307) 634-9267
Mailing address
3235 SPARKS RD, SUITE 200, CHEYENNE, WY 82001-6151
(307) 638-8975
(307) 634-9267
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-618
WY
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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