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1609513084
MELISSA BONNEY
BOISE, ID
NPI
1609513084
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Former Name
MELISSA STANO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW1305)
Enumeration Date
2022-05-17
Last Update Date
2022-07-19
Business Address
MELISSA BONNEY LCSW
1000 E PARK BLVD STE 120
BOISE, ID 83712-7793
Phone number: 208-381-4100
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Mailing Address
MELISSA BONNEY LCSW
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 120-838-1211
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