Individual
QUANAH BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 E 36TH ST APT 303, INDIANAPOLIS, IN 46205-3498
(317) 384-5246
Mailing address
1 E 36TH ST APT 303, INDIANAPOLIS, IN 46205-3498
(317) 384-5246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/27/2015
Last updated
09/27/2015
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