Provider Information for 1174029920
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BONNIE STOGNER LPC
Sex: Female
NPI: 1174029920
Last Updated: 2023-08-07
Certification Date: 2023-08-07
Certification Date: 2023-08-07
Details
| Name | Value | ||||||||||||||||
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| NPI | 1174029920 | ||||||||||||||||
| Enumeration Date | 2018-04-02 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 20 FIRTH LN POQUOSON, VA 23662-1650 United States Phone: 757-269-1759 | Fax: | ||||||||||||||||
| Primary Practice Address | 33117 HARVEST DR CARRSVILLE, VA 23315-2122 United States Phone: 757-269-1759 | Fax: | ||||||||||||||||
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