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Individual

DR. BONNIE T VAUGHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RH.D

Contact information

Practice address
2135 W RAMADA LN, CARBONDALE, IL 62901-5326
(618) 457-3318
(618) 549-0132
Mailing address
2032 ELM ST, MURPHYSBORO, IL 62966-1930
(618) 201-1790
(618) 549-0132

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
03/18/2011
Last updated
03/18/2011
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