Individual
MS. BONNIE MAE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2270 HOLMGREN WAY, GREEN BAY, WI 54304-4710
(920) 544-5294
Mailing address
1090 S TAMIAMI TRL, SARASOTA, FL 34236-9116
(904) 605-4986
(941) 460-5599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3093-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84238
—
WI
Enumeration date
10/13/2006
Last updated
12/06/2022
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