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Individual

MRS. BONNIE L EIDENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSSA, LISW, CEAP

Contact information

Practice address
850 S BROADWAY, GENEVA, OH 44041-9146
(440) 813-5071
(440) 992-7887
Mailing address
850 S BROADWAY, GENEVA, OH 44041-9146
(440) 813-5071

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
I0009169
OH

Other

Enumeration date
01/17/2006
Last updated
06/23/2009
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