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Individual

LAURA E BOGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
6640 INTECH BLVD, INDIANAPOLIS, IN 46278-2011
(317) 274-8812
(317) 274-0133
Mailing address
PO BOX 778912, CHICAGO, IL 60677-8912
(317) 777-6435

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
39001985A
IN
103TC0700X
Clinical Psychologist
Primary
20042620A
IN

Other

Enumeration date
04/20/2010
Last updated
10/30/2024
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