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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KYLE BONNER

Active Sole Proprietor

Clinical Social Worker · ALLENWOOD, NJ

Registration Details

NPI Number
1245722438
Provider Type
Individual
Gender
Male
NPI Issued
Jun 4, 2018 (7.9448166100896 yrs)
Last Updated
Feb 11, 2021
License
44SC05758300 (NJ)
Sole Proprietor
Yes

Practice Information

Address
2209 RAMSHORN DR
ALLENWOOD, NJ, 087207025
Browse NJ providers · Browse ZIP 08720
Phone
7328501348
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.