Individual
MRS. DANIELLE L BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
331 HOSPITAL DR, LEBANON, MO 65536-9217
(417) 533-6369
Mailing address
100 HOSPITAL DR, LEBANON, MO 65536-9210
(417) 533-6369
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005011371
MO
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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