Individual
SHAYLA BOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 ALDERSGATE RD STE 100, LITTLE ROCK, AR 72205-6676
(501) 537-3991
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10024-M
AR
1041C0700X
Clinical Social Worker
Primary
10024-C
AR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/06/2019
Last updated
07/31/2023
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