Individual
HEATHER BONJOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 HAIGHT AVE, POUGHKEEPSIE, NY 12603-7204
(845) 486-3525
Mailing address
510 HAIGHT AVE, POUGHKEEPSIE, NY 12603-7204
(845) 486-3525
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/14/2012
Last updated
06/14/2012
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