Individual
BONNIE M DWIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520
(989) 831-7578
Mailing address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520
(989) 831-7578
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
12/19/2023
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