Individual
ANNA BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1505 HOMEDALE DR, #2302, FORT WORTH, TX 76112-8356
(817) 239-2685
Mailing address
1505 HOMEDALE DR, #2302, FORT WORTH, TX 76112-8356
(817) 239-2685
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50093
TX
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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