Individual
BONNIE KAE-MACDUFF HOLIDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, ACSW
Contact information
Practice address
2301 E MICHIGAN AVE, SUITE 107, JACKSON, MI 49202-3700
(517) 784-3730
(517) 764-4596
Mailing address
PO BOX 1582, JACKSON, MI 49204-1582
(517) 784-3730
(517) 764-4596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801066774
MI
Other
Enumeration date
03/13/2007
Last updated
12/15/2012
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