Individual
MRS. LYUBOV ALEKSANDRA BOGUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1803 SMITH ST, NORTH PROVIDENCE, RI 02911-2326
(401) 263-3054
Mailing address
7 POLLY DR, NORTH PROVIDENCE, RI 02911-1123
(401) 263-3054
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
ISW03119
RI
Other
Enumeration date
05/22/2017
Last updated
07/23/2021
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