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Individual

MR. WILLIAM SCOTT BONACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.C.S.W

Contact information

Practice address
1919 S 40TH ST, STE 312, LINCOLN, NE 68506-5243
(402) 475-5069
(402) 475-2350
Mailing address
1919 S 40TH ST, STE 312, LINCOLN, NE 68506-5243
(402) 475-5069
(402) 475-2350

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
176
NE
101YP2500X
Professional Counselor
283
NE
1041C0700X
Clinical Social Worker
Primary
50
NE

Other

Enumeration date
01/31/2007
Last updated
04/20/2015
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