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1366782658
LINDA BONEBRAKE
COLUMBIA, MO
NPI
1366782658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2004011117)
Enumeration Date
2013-02-22
Last Update Date
2013-02-22
Business Address
Ms. LINDA BONEBRAKE LPC
90 E LESLIE LN C/O PHOENIX PROGRAMS, INC.
COLUMBIA, MO 65202-1535
Phone number: 573-875-8880
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Mailing Address
Ms. LINDA BONEBRAKE LPC
90 E LESLIE LN C/O PHOENIX PROGRAMS, INC.
COLUMBIA, MO 65202-1535
Phone number: 573-875-8880
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