Individual
MRS. ALLISON BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2425 S VOLUSIA AVE, SUITE B-4, ORANGE CITY, FL 32763-7625
(386) 774-1330
(888) 808-2088
Mailing address
2425 S VOLUSIA AVE, STE B-4, ORANGE CITY, FL 32763-7625
(386) 774-1330
(888) 808-2088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
72 035440
NY
1041C0700X
Clinical Social Worker
Primary
SW4260
FL
Other
Enumeration date
05/02/2006
Last updated
11/02/2010
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