Individual
DR. BONNIE JANELLE MILAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
18046 W LEGEND DR, SURPRISE, AZ 85374-2928
(623) 544-7217
Mailing address
PO BOX 314, WADDELL, AZ 85355-0314
(623) 544-7217
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
1951
AZ
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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