Individual
MRS. DEBORAH ANN BONGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5497 W WATERFORD LN, SUITE A, APPLETON, WI 54913-8509
(920) 750-6120
(920) 750-6121
Mailing address
5497 W WATERFORD LN, SUITE A, APPLETON, WI 54913-8509
(920) 750-6120
(920) 750-6121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2233-226
WI
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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