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1063096469
SAJA B MBOGE
SOUTHAVEN, MS
NPI
1063096469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: DE Q3-0010588)
Enumeration Date
2021-05-11
Last Update Date
2021-05-11
Business Address
SAJA B MBOGE
340 STATELINE RD W
SOUTHAVEN, MS 38671-1610
Phone number: 662-510-5387
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Mailing Address
SAJA B MBOGE
9216 SPEERBERRY LN
CORDOVA, TN 38016-0900
Phone number: 901-425-8432
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