Individual
BONNIE ELIZABETH GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
156 5TH AVE, SUITE 1208, NEW YORK, NY 10010-7002
(646) 504-3019
Mailing address
150 W 74TH ST, APARTMENT 2C, NEW YORK, NY 10023-2309
(267) 476-3995
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078613
NY
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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