BLAINE ALAN BONNETT

BOSSIER CITY, LA
NPI1134584105
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  5858)
Enumeration Date2015-12-17
Last Update Date2015-12-17
Business Address
-- BLAINE ALAN BONNETT MSW
5903 STOCKWOOD ST
BOSSIER CITY, LA 71111-5607
Phone number: 318-510-7034
Mailing Address
-- BLAINE ALAN BONNETT MSW
5903 STOCKWOOD ST
BOSSIER CITY, LA 71111-5607
Phone number: 318-510-7034
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