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Organization

SHAWN BOGGS COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHAWN DEWAYNE BOGGS LMFT (OWNER & OPERATOR)
(817) 410-4772
Entity
Organization

Contact information

Practice address
601 S MAIN ST, SUITE 212, GRAPEVINE, TX 76051-5382
(817) 410-4772
(817) 410-4773
Mailing address
601 S MAIN ST, SUITE 212, GRAPEVINE, TX 76051-5382
(817) 410-4772
(817) 410-4773

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
04/12/2012
Last updated
10/11/2012
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