# BONNIE JEAN SMITH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891549150
- **Gender:** F
- **Credential:** LISW-CP, PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 16945 | SC | Yes |

## Other

- **Enumeration date:** 04/15/2024
- **Last updated:** 05/25/2024