Individual
MS. BONNIE SUSAN LEROY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
420 DELAWARE ST SE, MMC 485, UNIVERSITY OF MINNESOTA, MINNEAPOLIS, MN 55455-0341
(612) 624-7193
(612) 625-4490
Mailing address
6100 TINGDALE AVE, EDINA, MN 55436-2641
(612) 624-7193
(612) 625-4490
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
11/17/2005
Last updated
07/08/2007
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