Kathryn Mary Bogusz, LICSW
Social Worker, Clinical in Boston, MA. Individual provider (NPI-1).
NPI number1245934603
StatusActive
Last updated in NPPESNov 6, 2023
Details
- NPI
- 1245934603
- Entity type
- Individual (NPI-1)
- Name
- Kathryn Mary Bogusz
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2023
- Certification date
- Nov 6, 2023
- Last updated
- Nov 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 126329 | MA | Yes |
Practice location
15 Parkman StBoston, MA 02114-3117
Phone 617-724-5753
Mailing address
11 Fairview AveScituate, MA 02066-3310
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