Individual
MS. LAURA ANNE BONAZINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
63 BOWER ST, SOUTH BURLINGTON, VT 05403-7775
(802) 999-1347
Mailing address
63 BOWER ST, SOUTH BURLINGTON, VT 05403-7775
(802) 999-1347
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12128541
VT
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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