Bonham, Lora Elizabeth
Bonham, Lora Elizabeth is an sole proprietor health care provider with primary practice located at 2776 W Lizzi Cv , South Jordan UT 84095-7961. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bonham, Lora Elizabeth can be contacted via phone (801) 631-9980.Contact Information
Primary practice address
2776 W Lizzi Cv
South Jordan UT 84095-7961
Phone: (801) 631-9980
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | 683825 | Utah |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 9806232-3501 | Utah |
Profile Details
| NPI number | 1922669274 |
|---|---|
| LBN Legal business name | Bonham, Lora Elizabeth |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2019 |
| Last updated | Jun 27th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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