Individual
KATHLEEN WEIHER BOGGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
992629
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
532811
—
CO
Enumeration date
01/04/2007
Last updated
07/22/2018
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