Individual
DARRA BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2602 1ST AVE, HIBBING, MN 55746-2245
(218) 263-5949
Mailing address
2601 1ST AVE, HIBBING, MN 55746-2244
(218) 264-5949
(218) 265-3771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
29469
MN
Other
Enumeration date
06/20/2023
Last updated
01/26/2024
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