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Individual

MRS. EDEN BONSONTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW,LCSW

Contact information

Practice address
104 PEPPERIDGE RD, NAPERVILLE, IL 60540-4122
(630) 747-6322
Mailing address
104 PEPPERIDGE RD, NAPERVILLE, IL 60540-4122
(630) 747-6322

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149010410
IL

Other

Enumeration date
08/20/2021
Last updated
08/20/2021
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