Bonnie Lou Hartrup | Farmington, MO • PECOS Search

Bonnie Lou Hartrup

Social Worker

Behavioral Health & Social Service Providers

404 Park St, Farmington, MO 63640-2656

PECOS Enrollment

Based on the most recent information from CMS, provider Bonnie Lou Hartrup 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 33 days ago.

Profile Details

Provider ID
1326272063
Provider Type
Individual
Full Name
Hartrup, Bonnie Lou
Title
Mrs.
Credential
MSW, LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/10/2009
Last Updated
1/17/2014

Contact Information

Practice Location

404 Park St, Farmington, MO 63640-2656

Unlisted Fax

Mailing Location

404 Park St, Farmington, MO 63640-2656

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 2003029297 Missouri