Individual
BLAIR BOONE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1057 PAUL MAILLARD RD, LULING, LA 70070-4349
(985) 785-3768
(985) 785-3720
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
12882
LA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
12882
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
11/15/2012
Last updated
01/25/2022
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