Individual
MRS. BONNIE L POPSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 FRONT STREET, MT MORRIS, PA 15349
(724) 324-9001
(724) 324-9005
Mailing address
PO BOX 495, MT MORRIS, PA 15349-0495
(724) 324-9001
(724) 324-9005
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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