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
State
Indiana
ZIP Code
46947-1576
Phone
(574) 732-1414

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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