Individual
MS. BONNIE JO ENGELHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
36 WALNUT COURT, STOUGHTON, MA 02072
(781) 444-7405
Mailing address
36 WALNUT COURT, STOUGHTON, MA 02072
(781) 344-0244
(617) 969-9934
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
102678
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ENPO1706
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/08/2007
Last updated
07/08/2007
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