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NPI Profile for AMBER J BONCHUK in NORWICH, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Developmental Therapist |
222Q00000X |
| NPI Number | 1619248093 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 01/18/2012 | |
| Last updated | 03/01/2013 - About 13 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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AMBER J BONCHUK
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AMBER J BONCHUK