Individual
DEBORAH BOGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
30031 CLARK DR, ABERDEEN, MS 39730-9741
(662) 315-2597
Mailing address
30031 CLARK DR, ABERDEEN, MS 39730-9741
(662) 315-2597
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2119
MS
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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