Individual
BRANDY BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
496 PROSPECT ST, WOODSTOCK, CT 06281-1415
(959) 262-4571
Mailing address
496 PROSPECT ST, WOODSTOCK, CT 06281-1415
(959) 262-4571
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2026
Last updated
03/10/2026
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