Individual
BONNIE LYNN BALSAMO
Active
Individual
BONNIE LYNN BALSAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
089.0127277
VT
1041C0700X
Clinical Social Worker
118984
MA
1041C0700X
Clinical Social Worker
Primary
2009
NH
1041C0700X
Clinical Social Worker
8970
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3135038
—
NH
05
—
6710489
—
VT
Enumeration date
11/07/2012
Last updated
02/15/2024
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