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Individual

AMY BONTRAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
117 S 5TH ST, GOSHEN, IN 46528-3711
(574) 896-8312
Mailing address
117 S 5TH ST, GOSHEN, IN 46528-3711

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
39004622A
IN

Other

Enumeration date
08/08/2023
Last updated
08/08/2023
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