Individual
MRS. ANNETTE BONOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,ATR-BC
Contact information
Practice address
30 ELIZABETH ST, PARENT CHILD RESOURCE CENTER, DERBY, CT 06418
(203) 954-0543
Mailing address
30 ELIZABETH ST, PARENT CHILD RESOURCE CENTER, DERBY, CT 06418
(203) 954-0543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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