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Individual

MS. BONNIE J COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
EDM LCSWR

Contact information

Practice address
162 MAIN STREET, HAMBURG, NY 14075
(716) 648-4455
(716) 648-2760
Mailing address
162 MAIN STREET, HAMBURG, NY 14075
(716) 648-4455
(716) 648-2760

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0242401
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000503599001
BLUE CROSS & BLUE SHIELD
NY
Enumeration date
11/20/2006
Last updated
07/08/2007
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