BONNIE CHADWICK BALLANTINE

EDMOND, OK
NPI1427165075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OK  1916)
Enumeration Date2006-08-23
Last Update Date2007-07-08
Business Address
-- BONNIE CHADWICK BALLANTINE LCSW
1104 CHARLTON RD
EDMOND, OK 73003-6169
Phone number: 405-341-4496
Mailing Address
-- BONNIE CHADWICK BALLANTINE LCSW
921 NE 13TH ST
OKLAHOMA CITY, OK 73104-5007
Phone number: 405-270-0501