| NPI | 1407523764 |
|---|---|
| Doing Business As | PAIGE BOGDA, LMFT |
| Entity Type | Organization |
| Authorized Contact | PAIGE FANOLIS Owner 860-334-7093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |