Individual
MRS. JILL RENEE BONTHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
376 E APPLE AVENUE, MUSKEGON, MI 49442-3466
(231) 724-1111
(231) 724-4188
Mailing address
376 E APPLE AVENUE, MUSKEGON, MI 49442-3466
(231) 724-1111
(231) 724-4188
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801098005
MI
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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