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Individual
CARLY QUINTEN BONICA
Active
Individual
CARLY QUINTEN BONICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1001447229
WI
235Z00000X
Speech-Language Pathologist
1024580
MN
235Z00000X
Speech-Language Pathologist
120561
TX
235Z00000X
Speech-Language Pathologist
Primary
146.016329
IL
235Z00000X
Speech-Language Pathologist
2023006211
MO
235Z00000X
Speech-Language Pathologist
2483958
IL
235Z00000X
Speech-Language Pathologist
6174-154
WI
235Z00000X
Speech-Language Pathologist
7101010106
MI
Other
Enumeration date
12/27/2021
Last updated
07/21/2026
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