Individual
BONNIE JEAN KOONSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
196 DELAWARE AVE, DELMAR, NY 12054-1230
(518) 490-0033
Mailing address
196 DELAWARE AVE, DELMAR, NY 12054-1230
(518) 490-0033
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
091646
NY
Other
Enumeration date
06/26/2014
Last updated
10/06/2022
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