Individual
CAROL BOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
35 LONGWOOD RD, MIDDLE ISLAND, NY 11953-2045
(631) 331-5610
Mailing address
2 JACQUELINE CT, PORT JEFF STA, NY 11776-3117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
075697-1
NY
Other
Enumeration date
09/04/2008
Last updated
03/27/2014
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