Bona Lisa Williams, LMSW

NPI #1194488908 in Blackfoot, Idaho

Provider Information

NPI Number: 1194488908
Entity Type: Individual
Name: Bona Lisa Williams, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Oct 19, 2021
Last Updated: Oct 19, 2021

Practice Location

Address: 745 W BRIDGE ST
City: Blackfoot
State: Idaho
ZIP Code: 83221-2000
Phone: (208) 680-2143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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