Individual
BONNIE K BURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, BCD
Contact information
Practice address
91 SNELLING AVE N, #230, SAINT PAUL, MN 55104-6753
(651) 647-4412
(651) 642-5909
Mailing address
91 SNELLING AVE N, #230, SAINT PAUL, MN 55104-6753
(651) 647-4412
(651) 642-5909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
15237
MN
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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