Individual
KRISTIN BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
42 TOWN ST STE 300, NORWICH, CT 06360-2339
(860) 886-0567
Mailing address
776 OLD COLCHESTER RD, UNCASVILLE, CT 06382-2015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12334
CT
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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