Individual
BONITA LOUISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323A E PALMDALE BLVD, PALMDALE, CA 93550-4957
(213) 215-6568
(661) 537-2937
Mailing address
2323A E PALMDALE BLVD, PALMDALE, CA 93550-4957
(661) 223-3847
(661) 537-2937
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
104580
CA
1041C0700X
Clinical Social Worker
Primary
104580
CA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/03/2017
Last updated
02/22/2024
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