Individual
MS. BONITA LOUISE CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21217 WINDSONG CIR, WALNUT, CA 91789-2075
(909) 598-3327
Mailing address
21217 WINDSONG CIR, WALNUT, CA 91789-2075
(909) 598-3327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9083
CA
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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