Heather M Bonilla, MSW, LCSW Valid NPI
Individual provider · Clinical Social Worker · Fayetteville, NC
- NPI
- 1386730604
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- C005798 (NC)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2006-10-05
- Last updated
- 2016-06-20
Practice location
581 Executive Pl Ste 500
Fayetteville, NC 28305-5794
(910) 705-1797