Individual
BERONICA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
604 SOLAREX CT UNIT 201, FREDERICK, MD 21703-8655
(301) 663-8263
(301) 682-5326
Mailing address
6501 NORTH CHARLES ST., CREDENTIALING-CARLA CASH, TOWSON, MD 21204-6819
(443) 761-5294
(434) 420-9454
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18092
MD
Other
Enumeration date
06/26/2012
Last updated
09/27/2022
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