Bonnie R Black, SOCIAL WORKER

NPI #1437968930 in Clarkston, Washington

Provider Information

NPI Number: 1437968930
Entity Type: Individual
Name: Bonnie R Black, SOCIAL WORKER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: SOCIAL WORKER
Enumeration Date: Dec 31, 2024
Last Updated: Dec 31, 2024

Practice Location

Address: 1370 BRIDGE ST
City: Clarkston
State: Washington
ZIP Code: 99403-2332
Phone: (509) 758-2568

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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