Individual
AMY ELIZABETH BOGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 OAK DR, MOUNTAIN TOP, PA 18707-1809
(570) 817-2304
Mailing address
22 OAK DR, MOUNTAIN TOP, PA 18707-1809
(570) 817-2304
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC001595
PA
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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