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1295986628
BONITA MARIA BANTOM
WASHINGTON, DC
NPI
1295986628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: DC LC50077952)
Enumeration Date
2008-10-03
Last Update Date
2013-09-30
Business Address
-- BONITA MARIA BANTOM LICSW
712 6TH ST NE
WASHINGTON, DC 20002-4324
Phone number: 202-546-9328
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Mailing Address
-- BONITA MARIA BANTOM LICSW
712 6TH ST NE
WASHINGTON, DC 20002-4324
Phone number: 202-546-9328
Copy
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