Organization
BONNIE EIDENS LISW, CEAP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE LOUISE EIDENS LISW, CEAP (OWNER)
(440) 813-5071
Entity
Organization
Contact information
Practice address
850 S BROADWAY, GENEVA, OH 44041-9146
(440) 813-5071
(440) 466-0969
Mailing address
850 S BROADWAY, GENEVA, OH 44041-9146
(440) 813-5071
(440) 466-0969
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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