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Individual

JBID L. BOZOGLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1055 RIVER RD APT 802, EDGEWATER, NJ 07020-1361
(201) 647-2450
Mailing address
1055 RIVER RD APT 802, EDGEWATER, NJ 07020-1361
(201) 647-2450

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL06103500
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05832400
NJ

Other

Enumeration date
01/22/2016
Last updated
04/19/2026
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