Individual
MS. MARY FRANCES BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 N MAIN ST, KINGFISHER, OK 73750-2720
(405) 433-7144
Mailing address
808 W KENS RD, KINGFISHER, OK 73750-4906
(405) 433-7144
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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