Individual
BONNIE SUE BLANZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
12850 FOUNTAIN SQ., STE. 106, DAVISBURG, MI 48350
(248) 634-6303
(248) 634-1746
Mailing address
12850 FOUNTAIN SQ., STE. 106, DAVISBURG, MI 48350
(248) 634-6303
(248) 634-1746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401007985
MI
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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