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1891428918
CHRISTOPHER OMAR BONILLA
CHARLOTTE, NC
NPI
1891428918
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P017752)
Enumeration Date
2022-07-06
Last Update Date
2022-07-13
Business Address
CHRISTOPHER OMAR BONILLA MSW, LCSWA
1909 J N PEASE PL STE 101
CHARLOTTE, NC 28262-4509
Phone number: 980-621-8401
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Mailing Address
CHRISTOPHER OMAR BONILLA MSW, LCSWA
1000 BROOKRUN DR APT 1313
CHARLOTTE, NC 28209-2944
Phone number: 704-648-3473
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