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Individual

THOMAS O. BONNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
9480 SW 77TH AVE, MIAMI, FL 33156-7903
(305) 595-1616
(305) 595-7272
Mailing address
9480 SW 77TH AVE, MIAMI, FL 33156-7903
(305) 595-1616
(305) 595-7272

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2826
FL

Other

Enumeration date
05/11/2010
Last updated
05/11/2010
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