Boni Shevelove, LSW

NPI #1144739012 in Montclair, New Jersey

Provider Information

NPI Number: 1144739012
Entity Type: Individual
Name: Boni Shevelove, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LSW
Enumeration Date: Sep 23, 2017
Last Updated: Oct 12, 2017

Practice Location

Address: 129 VALLEY RD FL 2
City: Montclair
State: New Jersey
ZIP Code: 07042-2331
Phone: (186) 248-5049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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