Individual
BONNIE M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5207 TROUBLE CREEK RD, NEW PORT RICHEY, FL 34652-4915
(727) 847-0069
(727) 849-3780
Mailing address
5207 TROUBLE CREEK RD, NEW PORT RICHEY, FL 34652-4915
(727) 847-0069
(727) 849-3780
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 5088
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110899
—
FL
Enumeration date
12/29/2006
Last updated
07/09/2007
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