EDICKSON BONILLA

PHILADELPHIA, PA
NPI1649450131
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-11-13
Last Update Date2007-11-13
Business Address
-- EDICKSON BONILLA MA
2927 N 5TH ST
PHILADELPHIA, PA 19133-2800
Phone number: 484-221-9136
Mailing Address
-- EDICKSON BONILLA MA
2030 W TILGHMAN ST SUITE 105B
ALLENTOWN, PA 18104-4354
Phone number: 484-221-9136
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