Individual
KATHRYN BONAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6879
Mailing address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6879
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011308
MI
Other
Enumeration date
02/24/2014
Last updated
08/10/2022
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