Michael Dean Bontrager, LCSW
NPI #1043288814 in Logansport, Indiana
Provider Information
- NPI Number
- 1043288814
- Entity Type
- Individual
- Name
- Michael Dean Bontrager, LCSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Mar 9, 2006
- Last Updated
- Sep 22, 2009
Practice Location
- Address
- 1807 SMITH ST
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947-1576
- Phone
- (574) 732-1414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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