Individual
MS. BONITA MCKOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 OLD MILL CIR STE B, WINSTON SALEM, NC 27103-2977
(336) 765-8912
(336) 765-5097
Mailing address
1400 OLD MILL CIR STE B, WINSTON SALEM, NC 27103-2977
(336) 765-8912
(336) 765-5097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P005321
NC
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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