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Organization
OLIVE & OAK WELLNESS LLC
Active
Organization
OLIVE & OAK WELLNESS LLC
Active
Other names
Paige Bogda, LMFT
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE FANOLIS LMFT (OWNER)
(860) 334-7093
Entity
Organization
Contact information
Practice address
1492 FLANDERS RD, SOUTHINGTON, CT 06489-1604
(860) 334-7093
Mailing address
360B QUEEN ST # 175, SOUTHINGTON, CT 06489-1871
(860) 334-7093
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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