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BONIFACIO ALEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
901 S 4TH ST, LOUISVILLE, KY 40203-3205
(502) 585-9911
Mailing address
636 E ORMSBY AVE, LOUISVILLE, KY 40203-2623
(502) 203-6276

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/10/2022
Last updated
05/10/2022
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