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Elaina A Bogan, LCSW

Social Worker, Clinical in Kinston, NC. Individual provider (NPI-1).

NPI number1942394077
StatusActive
Last updated in NPPESJul 20, 2015

Details

NPI
1942394077
Entity type
Individual (NPI-1)
Name
Ms. Elaina A Bogan
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Oct 3, 2006
Last updated
Jul 20, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalC007503NCYes

Practice location

2901 N Herritage St
Kinston, NC 28501-1581

Phone 252-233-2383 · Fax 252-523-3148

Mailing address

4300 Sapphire Ct Ste 110
Greenville, NC 27834-9079

Phone 252-830-7561 · Fax 252-413-0932

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