Individual
SHANNON BOGUMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 W BROAD ST, ROCHESTER, NY 14614-1103
(585) 262-8100
Mailing address
193 ALPINE KNL, FAIRPORT, NY 14450-1765
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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