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1093359564
LISA MARIA BONAVISO
HARTSDALE, NY
NPI
1093359564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 011641)
Enumeration Date
2019-10-29
Last Update Date
2023-05-05
Business Address
Dr. LISA MARIA BONAVISO
280 N CENTRAL AVE STE 309
HARTSDALE, NY 10530-1839
Phone number: 914-471-5516
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Mailing Address
Dr. LISA MARIA BONAVISO
12 FAWN LN
ARMONK, NY 10504-1126
Phone number: 914-471-5516
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