MS. Maryellen Marlene Bonacci, LMSW

NPI #1265514939 in Kalkaska, Michigan

Provider Information

NPI Number
1265514939
Entity Type
Individual
Name
MS. Maryellen Marlene Bonacci, LMSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LMSW
Enumeration Date
Oct 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
438 COUNTY ROAD 612 NE
ZIP Code
49646-8577
Phone
(231) 258-5565

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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