Tamara Bogle, LCSW

NPI #1861920415 in Crestview, Florida

Provider Information

NPI Number
1861920415
Entity Type
Individual
Name
Tamara Bogle, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 26, 2017
Last Updated
May 26, 2017

Practice Location

Address
1849 E 1ST AVE
State
Florida
ZIP Code
32539-3109
Phone
(850) 333-9297

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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