Individual
MRS. BONNIE COLLEEN WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
6604 SIX FORKS RD STE 204, RALEIGH, NC 27615-6521
(919) 671-8462
Mailing address
6604 SIX FORKS RD STE 204, RALEIGH, NC 27615-6521
(919) 671-8462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006335
NC
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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