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Individual
MELISSA BONVENTRE
Active
Individual
MELISSA BONVENTRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
088324
NY
1041C0700X
Clinical Social Worker
Primary
085306
NY
1041S0200X
School Social Worker
088324
NY
Other
Enumeration date
04/13/2016
Last updated
04/15/2019
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