Individual
DR. JENNIFER MARY BONOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
191 PRESIDENTIAL BLVD, SUITE 111A, BALA CYNWYD, PA 19004-1207
(610) 660-9760
Mailing address
214 DERWEN RD, MERION STATION, PA 19066-1207
(610) 664-3785
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW-000683-L
PA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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