Individual
ALICIA D BRUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12512 BANNOCKBURN PL, OKLAHOMA CITY, OK 73142-4515
(405) 414-4029
Mailing address
12512 BANNOCKBURN PL, OKLAHOMA CITY, OK 73142-4515
(405) 414-4029
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
OK
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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