Individual
NOAH BOGDONOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 PHILLIPS ST, PROVIDENCE, RI 02906-2420
(401) 919-3818
Mailing address
29 PHILLIPS ST, PROVIDENCE, RI 02906-2420
(401) 919-3818
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW02651
RI
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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