Individual
MISS LEAH LOUISE BONINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 UNIVERSITY AVE W STE 20, SAINT PAUL, MN 55104-4747
(612) 373-9162
Mailing address
1000 UNIVERSITY AVE W STE 20, SAINT PAUL, MN 55104-4747
(612) 373-9162
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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