JOSE RICHARD BONILLA

HICKSVILLE, NY
NPI1073758918
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  069580-1)
Enumeration Date2008-12-06
Last Update Date2008-12-06
Business Address
Mr. JOSE RICHARD BONILLA LCSW
120 BETHPAGE RD SUITE 201
HICKSVILLE, NY 11801-1515
Phone number: 516-305-9366
Mailing Address
Mr. JOSE RICHARD BONILLA LCSW
97 CYPRESS LN E
WESTBURY, NY 11590-5709
Phone number: 516-305-9366
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