Individual
MS. BEVERLY BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
3732 PINEBARK RD, PORTSMOUTH, VA 23703-2752
(757) 582-4527
(757) 726-6052
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6817
TN
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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