Individual
SANDRA JO BONCIOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
(210) 949-3326
Mailing address
7400 MERTON MINTER ST, SWS 122, SAN ANTONIO, TX 78229-4404
(210) 699-2160
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
34239
TX
Other
Enumeration date
09/13/2006
Last updated
10/24/2014
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