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Individual

MRS. BONNIE J CRANDELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
118 HEWITT RD, FOUNTAIN INN, SC 29644-9407
(864) 962-0120
Mailing address
118 HEWITT RD, FOUNTAIN INN, SC 29644-9407
(864) 962-0120

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3237
SC

Other

Enumeration date
03/30/2012
Last updated
03/30/2012
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