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Individual
SARA ELIZABETH BONNOUGH
Active
Individual
SARA ELIZABETH BONNOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6802086861
MI
1041C0700X
Clinical Social Worker
34008416A
IN
1041C0700X
Clinical Social Worker
6801100354
MI
1041C0700X
Clinical Social Worker
Primary
6801111300
MI
Other
Enumeration date
04/18/2013
Last updated
12/21/2022
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