Individual
DR. BONNIE LYNN MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LICSW, LCSW-C
Contact information
Practice address
1090 VERMONT AVE NW, WASHINGTON, DC 20005-4905
(415) 360-3833
Mailing address
1090 VERMONT AVE NW, WASHINGTON, DC 20005-4905
(415) 360-3833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904017359
VA
1041C0700X
Clinical Social Worker
32694
MD
1041C0700X
Clinical Social Worker
CW025566
PA
1041C0700X
Clinical Social Worker
Primary
LC200002538
DC
Other
Enumeration date
04/14/2021
Last updated
02/17/2025
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