Individual
ODETTE DENISE BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
121 N 2ND ST, SUITE 301, FORT PIERCE, FL 34950-4435
(772) 595-3773
Mailing address
5716 WOLF LAKE RD, SEBRING, FL 33875-8055
(863) 446-3369
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT1625
FL
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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