Individual
NANCY H BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
2323 RIDGE CT, LAWRENCE, KS 66046-3956
(785) 865-5300
(785) 865-1399
Mailing address
902 W 27TH TER, LAWRENCE, KS 66046-4618
(785) 312-7273
(785) 865-1399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1471
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097940A
—
KS
Enumeration date
01/30/2006
Last updated
12/02/2008
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