Individual
BONNIE MARGARET EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6402 57TH CT SE, LACEY, WA 98513-4159
(360) 539-3300
(360) 539-3332
Mailing address
6402 57TH CT SE, LACEY, WA 98513-4159
(360) 970-8356
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LW60767301
WA
Other
Enumeration date
06/05/2015
Last updated
09/22/2020
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