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MRS. SANDRA RUTH BONNER M.S.W., L.C.S.W.
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1861770281
Individual Registrant:MRS. SANDRA RUTH BONNER M.S.W., L.C.S.W.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
5230 N. CLARK AVE. SUITE 19 LAKEWOOD, CA 90712 US
Tel: 562-310-5850 Fax: 562-424-1751
Tel: 562-310-5850 Fax: 562-424-1751
Contact information for business:
5355 E. LA PASADA ST. #4 LONG BEACH, CA 90815 US
Tel: 562-342-6870 Fax: 562-424-1751
Tel: 562-342-6870 Fax: 562-424-1751
Registration Information:
NPI: 1861770281
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CA | LCS5347 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
