Individual
MIRIAM BOHNERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1837 CHAMPIONSHIP LN, FESTUS, MO 63028-5629
(573) 953-8899
Mailing address
1837 CHAMPIONSHIP LN, FESTUS, MO 63028-5629
(573) 953-8899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2019042612
MO
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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