Individual
BONNIE NECHTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3379 DONZI WAY W, JACKSONVILLE, FL 32223-7360
(904) 414-3878
Mailing address
3379 DONZI WAY W, JACKSONVILLE, FL 32223-7360
(904) 414-3878
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100705100
—
FL
01
—
4100
LCSW
FL
Enumeration date
05/13/2021
Last updated
05/13/2021
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