Individual
BONI SHEVELOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
129 VALLEY RD FL 2, MONTCLAIR, NJ 07042-2331
(186) 248-5049
(862) 485-0493
Mailing address
41 HILLCREST RD, WEST CALDWELL, NJ 07006-7739
18624850493
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC05752600
NJ
Other
Enumeration date
09/23/2017
Last updated
10/12/2017
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