Individual
ANDREW JOHN BONINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 ELM ST STE 201, SOUTHBRIDGE, MA 01550-2644
(508) 765-2832
Mailing address
89 WEATHERSTONE DR, WORCESTER, MA 01604-2673
(508) 360-9638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
222730
MA
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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