Individual
MICHAEL B BONEBRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
240 N ROCK ROAD, SUITE 303, WICHITA, KS 67206
(316) 683-3841
(316) 686-7366
Mailing address
240 N ROCK ROAD, SUITE 303, WICHITA, KS 67206
(316) 683-3841
(316) 686-7366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1446
KS
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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