Individual
JENNIFER BONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1220 S DALE MABRY HWY, STE. 201, TAMPA, FL 33629-5019
(813) 258-8887
(813) 925-4351
Mailing address
1220 S DALE MABRY HWY, STE. 201, TAMPA, FL 33629-5019
(813) 258-8887
(813) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011807700
—
FL
Enumeration date
01/23/2014
Last updated
09/12/2021
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