Individual
LESLIE MARILYN BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
438 PYRAMID WAY, SPARKS, NV 89431-5053
(775) 378-2775
(775) 525-3889
Mailing address
438 PYRAMID WAY, SPARKS, NV 89431-5053
(775) 378-2775
(775) 525-3889
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8834-S
NV
Other
Enumeration date
04/04/2017
Last updated
06/09/2020
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