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Individual

MS. LILLIAN JOAN BONIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., L.M.H.C.

Contact information

Practice address
14 BLUE HERRON RD, DUDLEY, MA 01571-6035
(508) 498-9907
Mailing address
14 BLUE HERON DRIVE, DUDLEY, MA 01571-6035
(508) 498-9907

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
000009411
MA

Other

Enumeration date
03/24/2010
Last updated
01/04/2017
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