Individual
BETHANY BRUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
948 N 4190 RD, HUGO, OK 74743-1119
(580) 775-4636
Mailing address
948 N 4190 RD, HUGO, OK 74743-1119
(580) 775-4636
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
22168-P
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/05/2015
Last updated
08/11/2026
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