Sesar Jesus Bonilla

NPI #1477387843 in Lolo, Montana

Provider Information

NPI Number: 1477387843
Entity Type: Individual
Name: Sesar Jesus Bonilla
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Aug 28, 2024
Last Updated: Aug 28, 2024

Practice Location

Address: 9801 VALLEY GROVE DR APT D
City: Lolo
State: Montana
ZIP Code: 59847-8617
Phone: (406) 273-4633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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