Individual
CRYSTAL BONANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W SPRINGFIELD AVE, CHAMPAIGN, IL 61820-4716
(217) 398-8464
Mailing address
2403 W SPRINGFIELD AVE APT S12, CHAMPAIGN, IL 61821-2859
(813) 397-7951
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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