Individual
SAJA B MBOGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 STATELINE RD W, SOUTHAVEN, MS 38671-1610
(662) 510-5387
(662) 342-0782
Mailing address
9216 SPEERBERRY LN, CORDOVA, TN 38016-0900
(901) 425-8432
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q3-0010588
DE
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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