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MRS. SANDRA RUTH BONNER M.S.W., L.C.S.W.

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1861770281

Individual Registrant:
MRS. SANDRA RUTH BONNER M.S.W., L.C.S.W.
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

Contact information for business:
5355 E. LA PASADA ST. #4 LONG BEACH, CA 90815 US
Tel: 562-342-6870  Fax: 562-424-1751

Registration Information:
NPI: 1861770281
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CALCS5347

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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