Individual
MRS. BONNIE D MAUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW CEAP SAP
Contact information
Practice address
100 CROSS KEYS OFFICE PARK STE 115, FAIRPORT, NY 14450-3509
(585) 704-2775
Mailing address
463 CLINE RD, VICTOR, NY 14564
(585) 704-2775
(505) 924-9054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R0456351
NY
Other
Enumeration date
08/07/2006
Last updated
03/17/2018
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