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Organization

ROBERT FOGEL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT FOGEL LMFT (OWNER)
(860) 573-7132
Entity
Organization

Contact information

Practice address
36 GRANDVIEW TER, SOUTH WINDSOR, CT 06074-3722
(860) 573-7132
(410) 861-6262
Mailing address
36 GRANDVIEW TER, SOUTH WINDSOR, CT 06074-3722
(860) 573-7132
(410) 861-6262

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1461
CT

Other

Enumeration date
08/09/2011
Last updated
08/09/2011
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