Individual
JULIAN BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 GREG HWY., AUGUSTA, SC 29801
(706) 834-2177
Mailing address
1135 GREG HWY., AIKEN, SC 29801
(803) 641-7700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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