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1679030977
ANGELA D BONNEVILLE
CRYSTAL LAKE, IL
NPI
1679030977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IL 149013595)
Enumeration Date
2019-02-23
Last Update Date
2019-02-23
Business Address
ANGELA D BONNEVILLE
800 S MCHENRY AVE
CRYSTAL LAKE, IL 60014-7487
Phone number: 815-526-3750
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Mailing Address
ANGELA D BONNEVILLE
445 HARVEST GATE
LAKE IN THE HILLS, IL 60156-4825
Phone number: 847-409-2746
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