Individual
TERRY BONNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 SAINT TAMMANY ST STE D, BATON ROUGE, LA 70806-6064
(225) 929-9738
Mailing address
2525 YOUREE DR STE 10, SHREVEPORT, LA 71104-3671
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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