Individual
MISS JENNIFFER BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(313) 841-8900
Mailing address
1700 WATERMAN ST, DETROIT, MI 48209-2022
(313) 841-8900
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801096222
MI
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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