Individual
CLAUDETTE DERIVAL BONAVENTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 BROOKLYN AVE APT 2A, BROOKLYN, NY 11210-1801
(917) 753-1129
Mailing address
1402 BROOKLYN AVE APT 2A, BROOKLYN, NY 11210-1801
(917) 753-1129
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119019
NY
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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