Individual
MR. DOUGLAS BOGDANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3535 MARKET ST, 3RD FLOOR, PHILADELPHIA, PA 19104-3309
(215) 746-6700
Mailing address
3535 MARKET ST, 3RD FLOOR, PHILADELPHIA, PA 19104-3309
(215) 746-6700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018607
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082178
NY STATE LCSW LICENSE
NY
Enumeration date
05/12/2015
Last updated
11/17/2016
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