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1063569291
NEIL J. BONAVITA
PHILADELPHIA, PA
NPI
1063569291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: PA CW012854)
Enumeration Date
2007-01-03
Last Update Date
2007-07-08
Business Address
Mr. NEIL J. BONAVITA LCSW
1601 WALNUT ST STE 808 SUITE 808
PHILADELPHIA, PA 19102-2905
Phone number: 215-977-8282
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Mailing Address
Mr. NEIL J. BONAVITA LCSW
29 FERN AVE
COLLINGSWOOD, NJ 08108-1918
Phone number: 215-977-8282
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