Individual
ELIZABETH BONHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 S GULLEY RD STE F, DEARBORN, MI 48124-4406
(734) 407-2500
(313) 792-8962
Mailing address
3101 S GULLEY RD STE F, DEARBORN, MI 48124-4406
(734) 407-2500
(313) 792-8962
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6851105726
MI
Other
Enumeration date
03/16/2020
Last updated
07/20/2021
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