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Individual

BARBARA GRANT BONETA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1633 INDEPENDENCE AVE SE, WASHINGTON, DC 20003-1635
(202) 644-8406
Mailing address
1633 INDEPENDENCE AVE SE, WASHINGTON, DC 20003-1635
(202) 644-8406

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
07/09/2018
Last updated
07/09/2018
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