Individual
LAURA BONATSOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2055 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-3832
(267) 438-2694
Mailing address
2055 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-3832
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW018414
PA
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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