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1326423500
MARK BONAVENTURA
WATERBURY, CT
NPI
1326423500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 9011)
Enumeration Date
2015-07-29
Last Update Date
2015-07-29
Business Address
-- MARK BONAVENTURA LCSW
64 ROBBINS ST BEHAVIORAL HEALTH- 2ND FLOOR
WATERBURY, CT 06708-2613
Phone number: 203-573-6103
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Mailing Address
-- MARK BONAVENTURA LCSW
64 ROBBINS ST BEHAVIORAL HEALTH- 2ND FLOOR
WATERBURY, CT 06708-2613
Phone number: 203-573-6103
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