Bonnie V Bjodstrup, LCSW
Social Worker, Clinical in Wauwatosa, WI. Individual provider (NPI-1).
NPI number1225047855
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1225047855
- Entity type
- Individual (NPI-1)
- Name
- Ms. Bonnie V Bjodstrup
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 2897-123 | WI | Yes |
Practice location
1220 Dewey AveDewey Center
Wauwatosa, WI 53213
Phone 414-454-6707 · Fax 414-454-6747
Mailing address
3301 W Forest Home AveMilwaukee, WI 53215-2843
Phone 414-647-6326 · Fax 414-671-8860
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