Individual
MRS. SUSAN KAY BONESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2054
(928) 773-2286
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2054
(928) 773-2286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-0159
AZ
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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