Individual
BONITA FRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
2727 HARDING HWY, LIMA, OH 45804-3433
(419) 221-2821
Mailing address
206 S WEST ST, LIMA, OH 45801-4842
(419) 771-3216
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
06/21/2022
Last updated
11/06/2023
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