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Individual

MS. TERESA BONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
51 FAIRVIEW STREET, BRATTLEBORO, VT 05301
(802) 254-7500
(802) 254-7501
Mailing address
ONE HOSPITAL COURT, SUITE 410, BELLOWS FALLS, VT 05101
(802) 463-3947
(802) 463-1206

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
0890000210
VT
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OVN1332
VT
Enumeration date
12/04/2006
Last updated
07/15/2016
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