Kimbrew, Bonita Croom
Kimbrew, Bonita Croom is an sole proprietor health care provider with primary practice located at 120 Greenwell Dr , Hampton VA 23666-1731. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kimbrew, Bonita Croom can be contacted via phone (757) 766-1711.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904004147 | Virginia |
Behavioral Health & Social Service Providers / School | 1041S0200X | PPS337705 | Virginia |
Profile Details
NPI number | 1104267228 |
---|---|
LBN Legal business name | Kimbrew, Bonita Croom |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 17th, 2013 |
Last updated | Jul 17th, 2013 - about 12 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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