Individual
MRS. PAULA ANN BONEBRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
12801 E 85TH ST N STE 101, OWASSO, OK 74055-2259
(918) 637-8373
(918) 856-3671
Mailing address
12312 E. 79TH CT. N., OWASSO, OK 74055
(918) 637-8373
(918) 856-3671
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1502
OK
Other
Enumeration date
05/19/2010
Last updated
01/06/2020
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