Individual
BRUCE E. BONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2125 N ACADEMY BLVD, COLORADO SPRINGS, CO 80909-1507
(719) 602-7817
(719) 597-4534
Mailing address
2125 N ACADEMY BLVD, COLORADO SPRINGS, CO 80909
(719) 602-7817
(719) 597-4534
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW.09926580
CO
Other
Enumeration date
09/13/2017
Last updated
09/03/2020
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