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Individual

MR. SHLOMO BOGART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCA

Contact information

Practice address
1844 WHITNEY AVE, HAMDEN, CT 06517-1400
(203) 407-1310
Mailing address
1066 WHITNEY AVE, HAMDEN, CT 06517-3463
(646) 763-1424

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5384
CT

Other

Enumeration date
09/23/2022
Last updated
09/23/2022
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