Individual
MR. BONIFACE ONYEBUCHI EGUZOUWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 SCHELLER RD, NEW PROVIDENCE, PA 17560-9713
(717) 786-9354
(717) 786-9135
Mailing address
56 SCHELLER RD, NEW PROVIDENCE, PA 17560-9713
(717) 786-9354
(717) 786-9135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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