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NPI 1386810844 · live from the CMS NPI Registry

Janet L Bogard, LCSW

Social Worker, Clinical in Big Lake, AK. National Provider Identifier 1386810844, active.

NPI record

NPI1386810844 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location3261 S Big Lake Rd, Big Lake, AK 99623
Practice phone907-376-2411
Mailing address1363 W Spruce Ave, Wasilla, AK 99654
EnumeratedMay 5, 2008
Last updatedAugust 23, 2023
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X1314 (AK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.