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Individual

LAURA BONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
(413) 788-2171
Mailing address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
(413) 788-2171

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4116
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4116
THE COMMONWEALTH OF MA
MA
Enumeration date
01/04/2016
Last updated
01/04/2016
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