Andrea June Bonomo | Howell, MI • PECOS Search

Andrea June Bonomo

Social Worker

Behavioral Health & Social Service Providers

2280 E Grand River Ave, Howell, MI 48843-8503

PECOS Enrollment

Based on the most recent information from CMS, provider Andrea June Bonomo does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1164053351
Provider Type
Individual
Full Name
Bonomo, Andrea June
Title
Ms.
Credential
LLMSW

Gender
Female
Sole Proprietor
No
Enumeration Date
1/28/2020
Last Updated
1/28/2020

Contact Information

Practice Location

2280 E Grand River Ave, Howell, MI 48843-8503

Unlisted Fax

Mailing Location

2280 E Grand River Ave, Howell, MI 48843-8503

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 6801106300 Michigan