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Blaine Bonnett, MSW

NPI 1134584105 · on the registry since 2015 · sole proprietor

Practice

Address
5903 Stockwood St
Bossier City, LA 71111
Phone
(318) 510-7034

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-12-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana