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Individual

MS. BONNIE HIRD JESSEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N., LCSW

Contact information

Practice address
26054 CORNELIUS DR, ABINGDON, VA 24211-6362
(276) 676-2128
Mailing address
26054 CORNELIUS DR, ABINGDON, VA 24211-6362
(276) 676-2128

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904006739
VA
163W00000X
Registered Nurse
0001165747
VA

Other

Enumeration date
05/01/2008
Last updated
05/01/2008
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