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1174174825
ELIZABETH C. BOGUS
PROVIDENCE, RI
NPI
1174174825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW02990)
Enumeration Date
2019-09-24
Last Update Date
2020-08-10
Business Address
ELIZABETH C. BOGUS LICSW
239 CRANSTON ST
PROVIDENCE, RI 02907-2406
Phone number: 401-444-0580
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Mailing Address
ELIZABETH C. BOGUS LICSW
375 ALLENS AVE
PROVIDENCE, RI 02905-5010
Phone number: 401-444-0400
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