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Individual

DEIRDRE BONAPARTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
4500 HUGH HOWELL RD, SUITE 780, TUCKER, GA 30084-4723
(678) 462-1342
(678) 493-9464
Mailing address
709 CRESCENT CIR, CANTON, GA 30115-4772

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001835
GA

Other

Enumeration date
07/26/2013
Last updated
07/26/2013
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