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Individual

MS. BONNIE GIBSON BARNARD-LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW-C

Contact information

Practice address
3204 TOWER OAKS BLVD, SUITE 175, ROCKVILLE, MD 20852-4250
(301) 770-4880
(301) 770-0505
Mailing address
3204 TOWER OAKS BLVD, SUITE 175, ROCKVILLE, MD 20852-4250
(301) 770-4880
(301) 770-0505

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11561
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J3690001
BLUE CROSS BLUE SHIELD ID
DC
01
J3690001
BLUE CROSS BLUE SHIELD ID
MD
Enumeration date
03/12/2007
Last updated
07/09/2007
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