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Individual

CELESTE RICHARDS BONANNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSW

Contact information

Practice address
4433 N RAVENSWOOD AVE STE 210, CHICAGO, IL 60640-7755
(773) 876-8763
(872) 315-3138
Mailing address
4433 N RAVENSWOOD AVE STE 210, CHICAGO, IL 60640-7755
(773) 876-8783
(872) 315-3138

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.102193
IL
1041C0700X
Clinical Social Worker
Primary
149021781
IL

Other

Enumeration date
03/08/2017
Last updated
03/12/2026
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