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Individual

BONNIE F. DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
211 COMMERCE BLVD, ROUND ROCK, TX 78664-2184
(512) 248-3252
(512) 248-3260
Mailing address
403 SKYLINE RD, GEORGETOWN, TX 78628-3826
(512) 560-5896

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
24023
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171M00000X
TX
Enumeration date
12/04/2006
Last updated
07/08/2007
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