MARYELLEN MARLENE BONACCI

KALKASKA, MI
NPI1265514939
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801087694)
Enumeration Date2006-10-20
Last Update Date2007-07-08
Business Address
Ms. MARYELLEN MARLENE BONACCI LMSW
438 COUNTY ROAD 612 NE
KALKASKA, MI 49646-8577
Phone number: 231-258-5565
Mailing Address
Ms. MARYELLEN MARLENE BONACCI LMSW
3017 RAYMO RD SW
SOUTH BOARDMAN, MI 49680-9438
Phone number: 231-258-5565