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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARC BONAGUIDE, LCSW

Active Sole Proprietor

Clinical Social Worker · WEATOGUE, CT

Registration Details

NPI Number
1003341272
Provider Type
Individual
Gender
Male
NPI Issued
Apr 25, 2017 (9.0170463870995 yrs)
Last Updated
Apr 25, 2017
License
006548 (CT)
Sole Proprietor
Yes

Practice Information

Address
10 SUNRISE TER
WEATOGUE, CT, 060899755
Browse CT providers · Browse ZIP 06089
Phone
8609511240
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in WEATOGUE, CT

Name Credential NPI
MARISSA LYNN STAFFORD LMSW 1730451683
ELIZABETH LANGEVIN LCSW 1780294348
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.