Individual
MS. MAHOGANY JOVAN HUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74 EAST ST, PLAINVILLE, CT 06062-2367
(860) 538-8953
Mailing address
73-110 MEETINGHOUSE RDG, MERIDEN, CT 06450-7274
(203) 440-9971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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