Individual
MRS. SUSAN ELIZABETH BONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 496-2430
(636) 496-4955
Mailing address
1015 BOWLES AVE, FENTON, MO 63026-2394
(636) 496-2430
(636) 496-4955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2010017115
MO
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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