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Organization
INTERACTIVETRAININGASSOCIATES/EVE N. BOGDANOVE, LICSW
Active
Organization
INTERACTIVETRAININGASSOCIATES/EVE N. BOGDANOVE, LICSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVE N BOGDANOVE MSW,LICSW (OWNER/PSYCHOTHERAPIST)
(413) 325-1502
Entity
Organization
Contact information
Practice address
486 MAIN ST, GREENFIELD, MA 01301-3314
(413) 325-1502
Mailing address
PO BOX 1011, GREENFIELD, MA 01302-1011
(413) 325-1502
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110377
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952568529
OPTUM/HARVARD PILGRIM/UBH
MA
01
—
1952568529
TUFTS
—
01
—
70010000P08073
BCBS
MA
05
—
S300160621
—
MA
Enumeration date
11/13/2017
Last updated
06/16/2018
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