Individual
BONNIE AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3973 CHOCTAW DR, BATON ROUGE, LA 70805-6722
(225) 361-0507
(225) 361-0363
Mailing address
3973 CHOCTAW DR, BATON ROUGE, LA 70805-6722
(225) 361-0507
(225) 361-0363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6904
LA
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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