Organization
KBOGGSPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE BOGGS LCSW (PRESIDENT)
(678) 358-6200
Entity
Organization
Contact information
Practice address
5435 SUGARLOAF PKWY, SUITE 1104, LAWRENCEVILLE, GA 30043
(678) 358-6200
Mailing address
4602 SEQUOIA CIR, OAKWOOD, GA 30566-2129
(678) 358-6200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001288
GA
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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