Provider Demographics
NPI:1356648893
Name:DAVID-SUCH, BONNIE JOANNE (LMSW)
Entity type:Individual
Prefix:MS
First Name:BONNIE
Middle Name:JOANNE
Last Name:DAVID-SUCH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4315 STEINACKER RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48855-9522
Mailing Address - Country:US
Mailing Address - Phone:517-376-2614
Mailing Address - Fax:517-235-5891
Practice Address - Street 1:780 W LAKE LANSING RD STE 100
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-8452
Practice Address - Country:US
Practice Address - Phone:517-376-2614
Practice Address - Fax:517-235-5891
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-18
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI68010923191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical