MICHAEL DEAN BONTRAGER

LOGANSPORT, IN
NPI1043288814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34000388A)
Enumeration Date2006-03-09
Last Update Date2009-09-22
Business Address
-- MICHAEL DEAN BONTRAGER LCSW
1807 SMITH ST
LOGANSPORT, IN 46947-1576
Phone number: 574-732-1414
Mailing Address
-- MICHAEL DEAN BONTRAGER LCSW
1807 SMITH ST
LOGANSPORT, IN 46947-1576
Phone number: 574-732-1414