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Individual

MRS. HEIDI HARDER BONHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M. A. CCC-SLP

Contact information

Practice address
16112 LEDGE LN, EDMOND, OK 73013-3227
(405) 348-0859
Mailing address
16112 LEDGE LN, EDMOND, OK 73013-3227
(405) 348-0859

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2768
OK

Other

Enumeration date
07/06/2008
Last updated
07/06/2008
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