Individual
BONNIE SITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
110 MORDINGTON AVENUE, JEFFERSON COUNTY BOARD OF EDUCATION, CHARLES TOWN, WV 25414
(304) 725-9741
Mailing address
110 MORDINGTON AVENUE, CHARLES TOWN, WV 25414
(304) 725-9741
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0935
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003933
—
WV
Enumeration date
05/27/2008
Last updated
03/28/2013
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