Dewayne Bonner, QBHP

NPI #1205318169 in Hope, Arkansas

Provider Information

NPI Number: 1205318169
Entity Type: Individual
Name: Dewayne Bonner, QBHP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Credential: QBHP
Enumeration Date: Sep 6, 2018
Last Updated: Sep 6, 2018

Practice Location

Address: 1401 S. MAIN ST
City: Hope
State: Arkansas
ZIP Code: 71801
Phone: (870) 777-4848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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