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1497338339
MICHELLE BONILLA
STATEN ISLAND, NY
NPI
1497338339
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NY 011255)
Enumeration Date
2021-04-29
Last Update Date
2021-05-28
Business Address
MICHELLE BONILLA LMHC
401 BLOOMINGDALE RD
STATEN ISLAND, NY 10309-2010
Phone number: 718-300-5655
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Mailing Address
MICHELLE BONILLA LMHC
308 N FELTUS ST
SOUTH AMBOY, NJ 08879-1245
Phone number: 908-342-6255
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