Individual
ALICIA BOGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
60 HARRIS AVE, NORWALK, OH 44857-2458
(419) 706-6301
Mailing address
60 HARRIS AVE, NORWALK, OH 44857-2458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.1101607-SUPV
OH
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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