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1104350610
KRISTINA BONANCA
FREDERICKSBURG, VA
NPI
1104350610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: VA 0701006929)
Enumeration Date
2017-04-12
Last Update Date
2017-04-12
Business Address
-- KRISTINA BONANCA LPC
1500 DUNES ST APT 304
FREDERICKSBURG, VA 22401-5018
Phone number: 540-907-9087
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Mailing Address
-- KRISTINA BONANCA LPC
1500 DUNES ST APT 304
FREDERICKSBURG, VA 22401-5018
Phone number: 540-907-9087
Copy
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