Individual
BONAFACIA LEBRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 MAIN ST, HARTFORD, CT 06106-1806
(860) 548-0101
(860) 726-7836
Mailing address
2550 MAIN ST, HARTFORD, CT 06120-1936
(860) 548-0101
(860) 726-7836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008962
CT
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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