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Individual

MS. CAROL ANN BOZENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW LCSW

Contact information

Practice address
784 FARMINGTON AVE, WEST HARTFORD, CT 06119-1619
(860) 523-4450
(860) 523-9537
Mailing address
784 FARMINGTON AVE, WEST HARTFORD, CT 06119-1619
(860) 523-4450
(860) 523-9537

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
739
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140000739CT012
ANTHEM
CT
Enumeration date
08/29/2006
Last updated
07/08/2007
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