Individual
MR. CLEOPHUS BOGGAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2626 CHARLES DR, CHALMETTE, LA 70043-3779
(504) 278-4006
(504) 278-4007
Mailing address
4701 CARDENAS DR, NEW ORLEANS, LA 70127-3736
(504) 214-0517
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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