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1730192121
JOHN MICHAEL BONINA
WORCESTER, MA
NPI
1730192121
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Other Name
JACK BONINA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 1032265)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
Mr. JOHN MICHAEL BONINA LICSW
21 EDLIN ST
WORCESTER, MA 01603-1944
Phone number: 508-757-9566
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Mailing Address
Mr. JOHN MICHAEL BONINA LICSW
21 EDLIN ST
WORCESTER, MA 01603-1944
Phone number: 508-757-9566
Copy
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