Individual
AIMEE E BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 MARKET ST STE 1005, PHILADELPHIA, PA 19103-3920
(855) 478-4357
Mailing address
1017 MERCY ST, PHILADELPHIA, PA 19148-2330
(215) 669-6170
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC013504
PA
Other
Enumeration date
07/29/2021
Last updated
01/04/2022
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