Individual
ANDY BONIFACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 SUMMER ST, HAVERHILL, MA 01830-6032
(978) 373-7010
Mailing address
672 B MAIN ST, HAVERHILL, MA 91830
(978) 476-2342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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