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Bonnie Jean Wallace, MED
Mental Health Counselor in Gardner, Massachusetts
NPI 1346778511

Bonnie Jean Wallace is a Mental Health Counselor based in Fitzwilliam, MA and is specialized in Mental Health. Bonnie Jean Wallace practices in Gardner, MA and has the professional credentials of MED. The NPI Number for Bonnie Jean Wallace is 1346778511 and holds a License No. (Massachusetts).

The current practice location address for Bonnie Jean Wallace is 205 School St., Gardner, MA and can be reached out via phone at 978-632-2321.

Location: 205 School St., Gardner, MA, 03447-0037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346778511
Provider Name
Bonnie Jean Wallace
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
205 School St., Gardner, MA, 03447-0037
Phone Number
978-632-2321
Fax Number
Provider Enumeration Date
05/31/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
205 School St.
City
Gardner
State
Massachusetts
Zip
01440
Phone Number
978-632-2321
Fax Number
person
Provider Business Mailing Address Details
Address
205 School St.
City
Gardner
State
Massachusetts
Zip
01440
Phone Number
978-632-2321
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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