SHELBY BONELLO BA
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1164225314- Provider Type
- Individual Provider (NPI-1)
- Credentials
- BA
- Status
- Active
Contact & Location
- Address
- 1815 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID, 836473151
- Phone
- (208) 590-1262
- Fax
- (208) 277-1342
Specialties & Taxonomies
Social Worker
Primary