Individual
BONNIE JO BOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP/L
Contact information
Practice address
6701 DELAWARE ST, MERRILLVILLE, IN 46410-3579
(219) 650-5300
Mailing address
2111 KELLE DR APT 201, CHESTERTON, IN 46304-8746
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005566A
IN
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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