Individual
JULIA BONNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-SLP
Contact information
Practice address
714 S LAKE DR STE 150, LEXINGTON, SC 29072-3473
(803) 356-4782
(803) 996-4782
Mailing address
714 S LAKE DR STE 150, LEXINGTON, SC 29072-3473
(803) 356-4782
(803) 996-4782
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-17-40999
—
235Z00000X
Speech-Language Pathologist
Primary
7215
SC
Other
Enumeration date
01/23/2019
Last updated
05/18/2021
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