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Individual

MS. BONNIE CHRISTINE MIRIANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1701 LAKE LANSING RD STE 120, LANSING, MI 48912
(810) 494-7180
(810) 215-1334
Mailing address
1033 HEALTHCARE DR, CHARLOTTE, MI 48813-1058
(517) 541-2673
(517) 543-2656

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6801082008
MI
104100000X
Social Worker
Primary
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20548
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/23/2007
Last updated
12/03/2024
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