Individual
BONNIE A CLOUKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
53 BAXTER BLVD, PORTLAND, ME 04101-1827
(603) 883-0005
(603) 883-0007
Mailing address
1 MAIN ST, NASHUA, NH 03064-2716
(603) 689-7978
(603) 883-0007
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6147
ME
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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