Individual
DR. CHRISTIE LEE BOGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1300 MERCANTILE LN STE 129-32, LARGO, MD 20774-5327
(850) 279-5499
Mailing address
1300 MERCANTILE LN STE 129-32, LARGO, MD 20774-5327
(850) 279-5499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP5734
MD
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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