Individual
JOHN BEAZOGLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1216 FARMINGTON AVE STE 303, WEST HARTFORD, CT 06107-2673
(860) 810-5950
Mailing address
21 WALTON DR, WEST HARTFORD, CT 06107-1631
(860) 313-0582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005815
CT
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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