Individual
ANNIE SAMANTHA BONNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
107 JADE CIR, ORANGEBURG, SC 29115-8166
(803) 533-8092
Mailing address
320 CULLER ST, ORANGEBURG, SC 29115-5315
(803) 707-8788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3880
SC
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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