Individual
ALICIA BOGGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT-I
Contact information
Practice address
2500 EXECUTIVE PARK NW STE 5C, CLEVELAND, TN 37312-2751
(423) 414-4307
Mailing address
2500 EXECUTIVE PARK NW STE 5C, CLEVELAND, TN 37312-2751
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2305
TN
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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