Individual
ANDREA J BONTRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
109 N 3RD ST, NILES, MI 49120-2655
(269) 683-8972
(269) 683-0449
Mailing address
109 N 3RD ST, NILES, MI 49120-2655
(269) 683-8972
(269) 683-0449
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
6801101746
MI
Other
Enumeration date
08/31/2011
Last updated
11/05/2024
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