Individual
BONNIE GRAY ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LAC
Contact information
Practice address
8989 HURON ST, THORNTON, CO 80260-6858
(303) 322-1056
Mailing address
8701 HURON ST APT 11-106, THORNTON, CO 80260-4343
(303) 322-1056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09924423
CO
Other
Enumeration date
12/12/2014
Last updated
01/14/2020
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