Organization
MARC BONAGUIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC BONAGUIDE LCSW (MANAGER)
(860) 951-1240
Entity
Organization
Contact information
Practice address
50 ALBANY TPKE, CANTON, CT 06019-2516
(860) 951-1240
Mailing address
10 SUNRISE TER, WEATOGUE, CT 06089-9755
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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