Individual
MS. BONITA BURTON COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
17715 BRADY, REDFORD, MI 48240-2117
(888) 473-2408
Mailing address
8889 APPOLINE ST, DETROIT, MI 48228-2656
(313) 933-2655
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801017510
MI
Other
Enumeration date
09/30/2006
Last updated
06/14/2016
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