Gina M. Bonino, LSW
Social Worker, Clinical in Maumee, OH. Individual provider (NPI-1).
NPI number1609433226
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1609433226
- Entity type
- Individual (NPI-1)
- Name
- Gina M. Bonino
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2019
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | S1903574 | OH | Yes |
Other names
- Gina Marie Bonino (Professional Name)
Practice location
1627 Henthorne Dr Ste CMaumee, OH 43537-1370
Phone 567-202-5042
Mailing address
13325 Mohler RdGrand Rapids, OH 43522-9283
Phone 567-202-5042
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