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1427165075
BONNIE CHADWICK BALLANTINE
EDMOND, OK
NPI
1427165075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 1916)
Enumeration Date
2006-08-23
Last Update Date
2007-07-08
Business Address
-- BONNIE CHADWICK BALLANTINE LCSW
1104 CHARLTON RD
EDMOND, OK 73003-6169
Phone number: 405-341-4496
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Mailing Address
-- BONNIE CHADWICK BALLANTINE LCSW
921 NE 13TH ST
OKLAHOMA CITY, OK 73104-5007
Phone number: 405-270-0501
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