Darra Bonham, LICSW Valid NPI

Individual provider · Clinical Social Worker · Hibbing, MN

NPI

1740965490

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

29469 (MN)

Sex

Female

Sole proprietor

Yes

Enumerated

2023-06-20

Last updated

2024-01-26