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Individual

BONNIE SCHWARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1 VILLAGE SQ, SUITE A, HAZELWOOD, MO 63042-1817
(314) 731-4555
Mailing address
27 PATRICIA AVE, FERGUSON, MO 63135-2955
(636) 578-3754

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2000156972
MO

Other

Enumeration date
08/13/2010
Last updated
08/13/2010
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