Individual
DEBORAH ANN BOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16234 N 102ND WAY, SCOTTSDALE, AZ 85255-8603
(480) 656-6176
Mailing address
16234 N 102ND WAY, SCOTTSDALE, AZ 85255-8603
(480) 656-6176
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW0550I
AZ
Other
Enumeration date
09/03/2012
Last updated
09/03/2012
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