Individual
MS. DONNA ELAINE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2195 EUCLID AVE, SUITE 6, BRISTOL, VA 24201-3655
(276) 669-5179
(276) 466-8870
Mailing address
2195 EUCLID AVE, SUITE 6, BRISTOL, VA 24201-3655
(276) 669-5179
(276) 466-8870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904002726
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010276675
—
VA
Enumeration date
10/02/2006
Last updated
03/25/2015
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