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Individual

BONITA ACOLA AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-C, LICSW

Contact information

Practice address
4600 POWDER MILL RD, BELTSVILLE, MD 20705-2675
(240) 485-8235
Mailing address
9913 DOLBY AVE, GLENN DALE, MD 20769-9234
(240) 485-8235

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
19709
MD
1041C0700X
Clinical Social Worker
LC50079391
DC

Other

Enumeration date
09/18/2018
Last updated
09/18/2018
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