Individual
DANIEL BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
424 W DALLAS ST, BROKEN ARROW, OK 74012-4027
(918) 408-5767
Mailing address
424 W DALLAS ST, BROKEN ARROW, OK 74012-4027
(918) 408-5767
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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