Individual
BONNIE LYNNE ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 LORRAINE AVE, FREDERICKSBURG, VA 22408-1929
(540) 898-1514
(540) 898-8571
Mailing address
1008 LANDRAMS RETREAT, FREDERICKSBURG, VA 22401-4669
(540) 809-2909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004347
VA
Other
Enumeration date
12/06/2019
Last updated
06/22/2020
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