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Individual
MS. ELAINA A BOGAN
Active
Individual
MS. ELAINA A BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007503
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945018
—
VA
Enumeration date
10/03/2006
Last updated
07/20/2015
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