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Individual

MS. BONNIE JEAN WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1100 UNIVERSITY AVE, SUITE 203, ROCHESTER, NY 14607-1653
(585) 313-1860
Mailing address
3351 NEWARK RD, MARION, NY 14505-9603
(315) 926-5949

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000408
NY

Other

Enumeration date
08/20/2006
Last updated
07/21/2009
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