Individual
MRS. BONITA L HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED SOCIAL WORK
Contact information
Practice address
2840 N HIGH SCHOOL RD STE 100, INDIANAPOLIS, IN 46224-4724
(317) 986-5000
Mailing address
5760 ROSEMONT DR, INDIANAPOLIS, IN 46254-5028
(131) 743-9779
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33008644A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14222274
—
IN
Enumeration date
03/22/2018
Last updated
06/16/2018
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