Individual
BONNIE J WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1281 MAIN ST, SOUTH WINDSOR, CT 06074-2410
(860) 970-8126
Mailing address
515 HAWTHORNE LN, WINDSOR, CT 06095-4714
(860) 970-8126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004266591
—
CT
Enumeration date
02/21/2007
Last updated
09/24/2020
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