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Organization
LAURA BONINI LCSW, PLLC
Active
Organization
LAURA BONINI LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ELIZABETH BONINI LCSW (THERAPIST/OWNER)
(757) 389-1453
Entity
Organization
Contact information
Practice address
5660 E VIRGINIA BEACH BLVD STE 201, NORFOLK, VA 23502-2468
(757) 389-1453
(866) 806-6123
Mailing address
1207 DEWBERRY DR, CHESAPEAKE, VA 23320-5124
(757) 339-5558
(866) 806-6123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007040
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAA101568
MEDICARE NUMBER
VA
Enumeration date
04/13/2018
Last updated
04/13/2018
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