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1285622530
BONNIE L EDELBLUTE
KINGMAN, AZ
NPI
1285622530
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Former Name
BONNIE BROUWER LAUDICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: AZ LPC1531)
Enumeration Date
2005-10-11
Last Update Date
2007-07-08
Business Address
Ms. BONNIE L EDELBLUTE LPC
3505 WESTERN AVE
KINGMAN, AZ 86409-3011
Phone number: 928-757-8111
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Mailing Address
Ms. BONNIE L EDELBLUTE LPC
1743 SYCAMORE AVE MOHAVE MENTAL HEALTH CLINIC INC
KINGMAN, AZ 86409-0927
Phone number: 928-757-8111
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