Individual
COLLEEN J BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(469) 419-3753
Mailing address
2106 HUNTINGTON DR, ARLINGTON, TX 76010-7632
(214) 803-3602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
59918
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59918
TEXAS STATE BOARD OF SOCIAL WORKER EXAMINERS
TX
Enumeration date
12/28/2021
Last updated
12/28/2021
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