Individual
BONNIE GOURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
623 PARK MEADOW RD STE H, WESTERVILLE, OH 43081-2876
(614) 558-4927
(855) 740-2025
Mailing address
623-H PARK MEADOW ROAD, WESTERVILLE, OH 43081
(614) 774-1120
(855) 740-2025
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S0600862
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S0600862
LICENSURE
OH
Enumeration date
07/12/2017
Last updated
07/12/2017
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