Individual
BONNIE D LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6846 S CANTON AVE STE 501, TULSA, OK 74136-3431
(918) 745-0095
Mailing address
6846 S CANTON AVE STE 501, TULSA, OK 74136-3431
(918) 745-0095
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6555
OK
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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