Patrice Bonner, LSW Valid NPI
Individual provider · Social Worker · Rockford, IL
- NPI
- 1326852997
- Type
- Individual (Type 1)
- Primary specialty
- Social Worker
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 104100000X
- License number
- 150.106640
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2025-02-04
- Last updated
- 2025-02-13
Practice location
1200 W State St
Rockford, IL 61102-2112
(815) 490-1600