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Individual

DR. MARC BONO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
765 E MAIN ST, BRANFORD, CT 06405-2922
(203) 464-1001
Mailing address
765 E MAIN ST, BRANFORD, CT 06405-2922
(203) 464-1001

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
002824
CT

Other

Enumeration date
10/31/2013
Last updated
10/31/2013
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