Individual
BONITA JO KLOPACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4343 SHALLOWFORD RD STE C-1, MARIETTA, GA 30062-5023
(678) 740-3757
(770) 993-9800
Mailing address
4343 SHALLOWFORD RD STE C-1, MARIETTA, GA 30062-5023
(678) 740-3757
(770) 993-9800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW006828
GA
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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