Individual
JONATHAN AARON BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SOCIAL WORKER
Contact information
Practice address
1557 DOWNTOWN WEST BLVD, KNOXVILLE, TN 37919-5407
(865) 545-4592
(865) 693-8554
Mailing address
1557 DOWNTOWN WEST BLVD, KNOXVILLE, TN 37919-5407
(865) 545-4592
(865) 693-8554
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
NA
TN
104100000X
Social Worker
Primary
PENDING
TN
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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