Individual
SHELBY BONELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1815 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-3151
(208) 590-1262
(208) 277-1342
Mailing address
1945 SW SHARPSHINNED AVE, MOUNTAIN HOME, ID 83647-1009
(352) 422-5909
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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