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Contact Information

KBOGGSPC
5435 SUGARLOAF PKWY
SUITE 1104
LAWRENCEVILLE, GA30043
 Phone: 678-358-6200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KBOGGSPC · (Female)

NPI # 1386085280
Status Active
Credentials
Entity Individual
Enumeration date 07/09/2013
Last updated 07/09/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # CSW001288
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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