Bonnie Chadwick Ballantine, LCSW Valid NPI

Individual provider · Clinical Social Worker · Edmond, OK

NPI

1427165075

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

1916 (OK)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-08-23

Last updated

2007-07-08