Individual
MRS. KIMBERLY LYNN BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
961 MARCON BLVD, SUITE 312, ALLENTOWN, PA 18109
(610) 266-0610
(610) 266-0292
Mailing address
961 MARCON BLVD, SUITE 312, ALLENTOWN, PA 18109
(610) 266-0610
(610) 266-0292
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015247
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50031896
CAPITAL BC
—
Enumeration date
01/17/2007
Last updated
07/08/2007
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