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Individual

MS. BONNI RAAB

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
978 ROUTE 45, SUITE 200, POMONA, NY 10970-3565
(845) 364-9422
(845) 364-9422
Mailing address
978 ROUTE 45, SUITE 200, POMONA, NY 10970-3565
(845) 364-9422
(845) 364-9422

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
014543-R
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
205095
UNITED BEHAVIORAL HEALTH
NY
01
7492802
GHI & VALUE OPTIONS
NY
01
DR8999
OXFORD
NY
Enumeration date
08/11/2005
Last updated
07/08/2007
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