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Individual

BONNIE JEAN HEDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1396 MORTIMORE LN, LANDER, WY 82520-9770
(307) 330-4867
Mailing address
1396 MORTIMORE LN, LANDER, WY 82520-9770
(307) 330-4867

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-870
WY

Other

Enumeration date
09/06/2019
Last updated
09/06/2019
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