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Individual

MS. BONNIE KAY MARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
1115 N GRAND AVE, SUITE 201, PUEBLO, CO 81003-2867
(719) 544-1404
(719) 544-1404
Mailing address
1814 AQUILA DR, PUEBLO, CO 81008-2617
(719) 924-8266
(719) 924-8266

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
890
CO
106H00000X
Marriage & Family Therapist
MFC36793
CA
106H00000X
Marriage & Family Therapist
MFT140
HI

Other

Enumeration date
05/21/2007
Last updated
09/24/2009
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