Individual
LAURA BONINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5660 E VIRGINIA BEACH BLVD STE 201, NORFOLK, VA 23502-2468
(757) 389-1453
(866) 806-6123
Mailing address
5660 E VIRGINIA BEACH BLVD STE 201, NORFOLK, VA 23502-2468
(757) 389-1453
(866) 806-6123
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904007040
VA
Other
Enumeration date
05/14/2010
Last updated
03/19/2019
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