Tamara Bogan

NPI #1992155931 in Ludowici, Georgia

Provider Information

NPI Number
1992155931
Entity Type
Individual
Name
Tamara Bogan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Jun 21, 2016
Last Updated
Jun 21, 2016

Practice Location

Address
935 PRINCE RD SE
State
Georgia
ZIP Code
31316-7484
Phone
(229) 977-4501

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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