MISS Raven Sue Bruner

NPI #1164794566 in Durant, Oklahoma

Provider Information

NPI Number
1164794566
Entity Type
Individual
Name
MISS Raven Sue Bruner
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jan 31, 2012
Last Updated
Jan 31, 2012

Practice Location

Address
1604 N WASHINGTON AVE
City
Durant
ZIP Code
74701-2128
Phone
(580) 920-0909

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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