Individual
PAULA G BONNEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 E 10TH ST, ROLLA, MO 65401-3648
(573) 774-3121
(573) 774-2235
Mailing address
24035 RICH LN, WAYNESVILLE, MO 65583-2659
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
01780
MO
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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