Individual
MS. BONNIE M. CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1225 CENTRAL AVE, SUITE #3, MCKINLEYVILLE, CA 95519-4390
(707) 839-1244
Mailing address
1225 CENTRAL AVE, SUITE #3, MCKINLEYVILLE, CA 95519-4390
(707) 839-1244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 23232
CA
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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