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1467823989
BONNIE LEE CARLSON
FREMONT, CA
NPI
1467823989
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Former Name
BONNIE LEE WHYNAUCHT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-09
Last Update Date
2015-10-09
Business Address
-- BONNIE LEE CARLSON
3300 CAPITOL AVE
FREMONT, CA 94538-1514
Phone number: 510-574-2205
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Mailing Address
-- BONNIE LEE CARLSON
3300 CAPITOL AVE
FREMONT, CA 94538-1514
Phone number: 510-574-2205
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