Individual
BONNIE HOPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
13 ELM ST, LAKE RONKONKOMA, NY 11779-4435
(631) 871-8875
Mailing address
13 ELM ST, LAKE RONKONKOMA, NY 11779-4435
(631) 871-8875
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
068534
NY
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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