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Individual

MRS. BONNIE L POPSO

Active
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Individual

MRS. BONNIE L POPSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015268
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101745151 0001
PA
01
540369
VALUE BEHAVIORAL HEALTH
PA
Enumeration date
01/02/2007
Last updated
01/07/2010
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