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Individual

BONNIE BOSMAN HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MASTERS EDUCATION

Contact information

Practice address
2732 SIDNEY LAKE CT, DACULA, GA 30019-6911
(770) 856-5555
(678) 550-9051
Mailing address
2732 SIDNEY LAKE CT, DACULA, GA 30019-6911
(770) 856-5555
(678) 550-9051

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
04/05/2018
Last updated
04/05/2018
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