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Individual

ANNALISA BOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1150 GLENLIVET DR STE A15, ALLENTOWN, PA 18106-3112
(845) 807-6582
Mailing address
1150 GLENLIVET DR STE A15, ALLENTOWN, PA 18106-3112

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
SW132377
PA
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/07/2016
Last updated
03/19/2020
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