Individual
BONNIE SHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
6068 OSPREY CIR, BREMERTON, WA 98312-8807
(360) 813-1374
Mailing address
6068 OSPREY CIR, BREMERTON, WA 98312-8807
(360) 813-1374
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW 00005366
WA
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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