Individual
CIERRA DANISHA BOGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Contact information
Practice address
4801 GLENWOOD AVENUE, SUITE 200 PMB 533, RALEIGH, NC 27612
(919) 764-4902
Mailing address
1306 IVY MEADOW DR APT 533, CHARLOTTE, NC 28213-9028
(704) 294-5427
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P020759
NC
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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