Provider Demographics
NPI:1578191961
Name:HARMAN, BONNIE SUE (LCSW)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:SUE
Last Name:HARMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3161 HOSKINS RD
Mailing Address - Street 2:
Mailing Address - City:FORT SILL
Mailing Address - State:OK
Mailing Address - Zip Code:73503-4462
Mailing Address - Country:US
Mailing Address - Phone:580-442-8095
Mailing Address - Fax:
Practice Address - Street 1:3 NW BENT TREE CIR
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-9532
Practice Address - Country:US
Practice Address - Phone:580-574-5481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-31
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK61691041C0700X
OK78691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical