Doctor Name: | MRS. BONNIE MARIE DAVIS |
NPI Number: | 1023260379 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 4803 |
Business Practice Address: | 435 Homer Rd Minden, LA - 710552933 |
Business Phone Number: | 3183713001 |
Business Fax Number: | 3183713300 |
Mailing Address: | 435 Homer Rd, MINDEN |
State: | LA |
Postal Code: | 710552933 |
Phone Number: | 3183713001 |
Fax Number: | 3183713300 |
NPI Enumeration Date: | 10/17/2008 |
NPI Last Update Date: | 05/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 4803 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |