Individual
MRS. BONNIE JUNE LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 945-5722
Mailing address
1519 NYE RD, LYONS, NY 14489-9133
(315) 945-5722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010460
NY
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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