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1255695110
BERONICA BONILLA
FREDERICK, MD
NPI
1255695110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 18092)
Enumeration Date
2012-06-26
Last Update Date
2022-09-27
Business Address
BERONICA BONILLA LCSW-C
604 SOLAREX CT UNIT 201
FREDERICK, MD 21703-8655
Phone number: 301-663-8263
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Mailing Address
BERONICA BONILLA LCSW-C
6501 NORTH CHARLES ST. CREDENTIALING-CARLA CASH
TOWSON, MD 21204-6819
Phone number: 443-761-5294
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