Individual
ANNETTE BOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CACLL
Contact information
Practice address
683 LINCOLN LN, CAIRO, GA 39828-3383
(292) 218-5592
Mailing address
615 S HANSELL ST, THOMASVILLE, GA 31792-5556
(229) 226-2234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/25/2013
Last updated
02/23/2021
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