Individual
JUDY MARY BONADIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1305 POST RD, SUITE 206, FAIRFIELD, CT 06824-6016
(203) 255-0642
Mailing address
1305 POST RD, SUITE 206, FAIRFIELD, CT 06824-6016
(203) 255-0642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002484
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002484
STATE LICENSE NUMBER
CT
Enumeration date
01/02/2007
Last updated
07/08/2007
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