Individual
CHELSEA BONANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3057 ACUSHNET AVE, NEW BEDFORD, MA 02745-3636
(508) 742-1024
Mailing address
3057 ACUSHNET AVE, NEW BEDFORD, MA 02745-3636
(508) 742-1024
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
106S00000X
Behavior Technician
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
05/24/2018
Last updated
05/25/2021
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