Individual
ANNY MADELYN BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2094 PITKIN AVE, BROOKLYN, NY 11207-3509
(718) 240-0448
(718) 240-0601
Mailing address
2094 PITKIN AVE, BROOKLYN, NY 11207-3509
(718) 240-0448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
091878-01
NY
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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