Individual
MRS. BONNIE ROBINSON COURTEMANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
166 CENTRAL ST, LOWELL, MA 01852-1910
(978) 513-7273
(781) 268-5070
Mailing address
166 CENTRAL ST, LOWELL, MA 01852-1910
(978) 513-7273
(781) 268-5070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
126476
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126476
LICENSED INDEPENDENT CLINICAL SOCIAL WORKER
MA
Enumeration date
04/30/2021
Last updated
10/14/2023
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