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Individual

BONNIE L HOTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED., LPC

Contact information

Practice address
1703 ZERO AVE, WASHINGTON, MO 63090-4925
(636) 221-8012
Mailing address
1703 ZERO AVE, WASHINGTON, MO 63090-4925
(636) 221-8012

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2011008115
MO

Other

Enumeration date
04/17/2013
Last updated
04/17/2013
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