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1205508223
BONNIE BLACK
RED BANK, NJ
NPI
1205508223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC05857100)
Enumeration Date
2021-09-28
Last Update Date
2021-09-28
Business Address
BONNIE BLACK LCSW
76 STEPHENVILLE BLVD
RED BANK, NJ 07701-6249
Phone number: 908-902-0481
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Mailing Address
BONNIE BLACK LCSW
PO BOX 144
RED BANK, NJ 07701-0144
Phone number: 732-788-6146
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