LISA BONCELLA

LIV IN-HOME COUNSELING AND CARE MANAGEMENT, LLC

Dr LISA BONCELLA is a female medical professional, specializing in Clinical Social Worker. She graduated in 2014.

Contact

LIV IN-HOME COUNSELING AND CARE MANAGEMENT, LLC

415 W 27TH ST
CHEYENNE
WY
820013013

Tel: 3076304729

LISA BONCELLA Information

Npi 1851707574
Pac Id 7214299841
Professional Enrollment Id I20180320001165
Last Name BONCELLA
First Name LISA
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2014
Primary Specialty CLINICAL SOCIAL WORKER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name LIV IN-HOME COUNSELING AND CARE MANAGEMENT, LLC
Group Practice Pac Id 5698992352
Number Of Group Practice Members 12
Line 1 Street Address 415 W 27TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CHEYENNE
State WY
Zip Code 820013013
Phone Number 3076304729
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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