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1861920415
TAMARA BOGLE
CRESTVIEW, FL
NPI
1861920415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW12202)
Enumeration Date
2017-05-26
Last Update Date
2017-05-26
Business Address
TAMARA BOGLE LCSW
1849 E 1ST AVE
CRESTVIEW, FL 32539-3109
Phone number: 850-333-9297
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Mailing Address
TAMARA BOGLE LCSW
1641 BEL AIRE DR
CRESTVIEW, FL 32536-3242
Phone number:
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