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1861548646
JAMIE BOGENSHUTZ
MASSAPEQUA, NY
NPI
1861548646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R025879-1)
Enumeration Date
2007-01-26
Last Update Date
2010-01-29
Business Address
-- JAMIE BOGENSHUTZ LCSW, R, CASAC
75 GRAND AVE
MASSAPEQUA, NY 11758-4905
Phone number: 516-799-3203
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Mailing Address
-- JAMIE BOGENSHUTZ LCSW, R, CASAC
75 GRAND AVE
MASSAPEQUA, NY 11758-4905
Phone number:
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