Individual
MS. BONNIE JOANNE MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11080 W OLYMPIC BLVD, EDELMAN CHILDRENS MHC 1ST FL, LOS ANGELES, CA 90064
(310) 966-6610
(310) 231-0760
Mailing address
4104 BALDWIN AVE, CULVER CITY, CA 90232
(310) 841-0823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14040
CA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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