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1063856763
CHARLES E BONNEY
JACKSON, MI
NPI
1063856763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 2-01131)
Enumeration Date
2013-04-24
Last Update Date
2013-04-24
Business Address
Mr. CHARLES E BONNEY CADC
3300 LANSING AVE
JACKSON, MI 49202-1621
Phone number: 517-784-2929
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Mailing Address
Mr. CHARLES E BONNEY CADC
5515 KIBBY RD
JACKSON, MI 49201-9389
Phone number:
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