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Louis Jason Bonfanti, LCSW Valid NPI

Individual provider · Clinical Social Worker · Alexandria, LA

NPI
1871531582
Type
Individual (Type 1)
Primary specialty
Clinical Social Worker (Social Worker)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
1041C0700X
License number
1820 (LA)
Sex
Male
Sole proprietor
Yes
Enumerated
2006-06-03
Last updated
2008-06-27
Practice location
109 Yorktown Dr, Suite B
Alexandria, LA 71303-3621
(318) 487-9895

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