Individual
MRS. BONNIE LOU HARTRUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
404 PARK ST, FARMINGTON, MO 63640-2656
(573) 756-4574
Mailing address
404 PARK ST, FARMINGTON, MO 63640-2656
(573) 756-4574
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2003029297
MO
Other
Enumeration date
05/10/2009
Last updated
01/17/2014
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