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Organization
KATIE BOGACKI, LCSW, LLC
Active
Organization
KATIE BOGACKI, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE BOGACKI (THERAPIST/OWNER)
(773) 968-9691
Entity
Organization
Contact information
Practice address
4801 W PETERSON AVE STE 308, CHICAGO, IL 60646-5726
(773) 968-9691
Mailing address
4801 W PETERSON AVE STE 308, CHICAGO, IL 60646-5726
(773) 968-9691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760938260
CMS
—
Enumeration date
04/09/2019
Last updated
04/09/2019
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