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Individual

BEVERLY KAY BONTRAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
920 FROSTWOOD DR STE 670, HOUSTON, TX 77024-2415
(713) 858-3221
Mailing address
920 FROSTWOOD DR STE 670, HOUSTON, TX 77024-2415
(713) 858-3221

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
53201
TX

Other

Enumeration date
09/17/2012
Last updated
09/17/2012
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