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1740530336
KATHERINE I BONILLA
WILLIMANTIC, CT
NPI
1740530336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: CT 010124)
Enumeration Date
2012-09-12
Last Update Date
2019-04-09
Business Address
MRS. KATHERINE I BONILLA LMSW, LADC
872 MAIN ST
WILLIMANTIC, CT 06226-2342
Phone number: 860-985-3494
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Mailing Address
MRS. KATHERINE I BONILLA LMSW, LADC
44 ASHFORD LAKE DR
ASHFORD, CT 06278-1201
Phone number: 860-646-3888
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