Individual
BONITA HICKMAN-KAMARAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
HC 68 BOX 561, COMSTOCK, NE 68828-9630
(308) 628-4247
Mailing address
46281 COMSTOCK RD, COMSTOCK, NE 68828-8015
(308) 628-4247
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
951181
NDE SERVICE PROVIDER
NE
Enumeration date
05/31/2007
Last updated
07/08/2007
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