Kboggspc
NPI #1386085280 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1386085280
- Entity Type
- Organization
- Organization Name
- Kboggspc
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jul 9, 2013
- Last Updated
- Jul 9, 2013
Practice Location
- Address
- 5435 SUGARLOAF PKWY
- Address 2
- SUITE 1104
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30043
- Phone
- (678) 358-6200
Authorized Official
- Name
- KATHERINE BOGGS, LCSW
- Title
- PRESIDENT
- Phone
- (678) 358-6200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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