Kimberly B Bonner, LCSW
Social Worker, Clinical in Philadelphia, PA. Individual provider (NPI-1).
NPI number1831999770
StatusActive
Last updated in NPPESMar 18, 2025
Details
- NPI
- 1831999770
- Entity type
- Individual (NPI-1)
- Name
- Kimberly B Bonner
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 18, 2025
- Certification date
- Mar 18, 2025
- Last updated
- Mar 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
30 S 50th StPhiladelphia, PA 19139-3541
Phone 347-587-9574
Mailing address
30 S 50th StPhiladelphia, PA 19139-3541
Phone 347-587-9574
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