Individual
CELISA K BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13787 BELCHER ROAD S., SUITE 220, LARGO, FL 33771
(727) 723-7532
(727) 797-4733
Mailing address
13787 BELCHER RD S, SUITE 220, LARGO, FL 33771-4065
(727) 723-7532
(727) 797-4733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW9940
FL
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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