Individual
BONNIE LILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
110 NATIONAL DR, GLASTONBURY, CT 06033-4371
(860) 430-5515
(860) 430-9754
Mailing address
50 GRISWOLD ST, NEW BRITAIN, CT 06052-2008
(860) 224-5267
(860) 224-5752
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/18/2008
Last updated
03/23/2016
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