Individual
LACEY GAIL BONEWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1201 E 9TH ST, BONHAM, TX 75418-4059
(903) 583-2111
Mailing address
600 IVY LN, NEVADA, TX 75173-8493
(214) 492-9424
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
53433
TX
Other
Enumeration date
07/26/2010
Last updated
03/23/2015
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