Individual
MRS. BONNIE RUTH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APC002883
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
1205 LEVERETT RD APT 1209, WARNER ROBINS, GA 31088-0334
(912) 816-6979
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC002883
GA
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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