Individual
MRS. BONNIE LYNN MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1428 E GALVIN ST, PHOENIX, AZ 85086-9272
(602) 373-9712
(623) 224-8578
Mailing address
1428 E GALVIN ST, PHOENIX, AZ 85086-9272
(602) 373-9712
(623) 224-8578
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
72058132
—
104100000X
Social Worker
Primary
LMSW 12819
AZ
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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