Individual
BONNIE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
940 BELMONT ST, VA HOSPITAL (116), BROCKTON, MA 02301-5596
(774) 826-2800
Mailing address
58 MURRAY ST, PROVIDENCE, RI 02909-5308
(774) 826-2800
(774) 826-3129
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1028811
MA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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