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Individual

BONNIE ILER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A. - LPCC

Contact information

Practice address
1010 N PROSPECT ST, BOWLING GREEN, OH 43402-1335
(419) 352-5387
Mailing address
13118 FULLMER RD, DEFIANCE, OH 43512-8859
(910) 512-9872

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C1400532
OH
101YP2500X
Professional Counselor
Primary
E.1800627
OH

Other

Enumeration date
10/29/2014
Last updated
04/26/2018
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