Individual
MS. ELAINA A BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2901 N HERRITAGE ST, KINSTON, NC 28501-1581
(252) 233-2383
(252) 523-3148
Mailing address
4300 SAPPHIRE CT STE 110, GREENVILLE, NC 27834-9079
(252) 830-7561
(252) 413-0932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C007503
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945018
—
VA
Enumeration date
10/03/2006
Last updated
07/20/2015
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