Individual
ROBERT FOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
36 GRANDVIEW TER, SOUTH WINDSOR, CT 06074-3722
(860) 573-7132
(410) 861-6262
Mailing address
36 GRANDVIEW TER, SOUTH WINDSOR, CT 06074-3722
(860) 573-7132
(410) 861-6262
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1461
CT
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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