Individual
MS. DEBORAH ANN BOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., C.A.A.C.
Contact information
Practice address
543 VANDERPOOL DR, TROY, MI 48083-5151
(248) 244-2060
(248) 528-0308
Mailing address
543 VANDERPOOL DR, TROY, MI 48083-5151
(248) 244-2060
(248) 528-0308
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
C00640
MI
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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