Individual
KAITLIN BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2857 WOODS COVE RD, SCOTTSBORO, AL 35768-7559
(562) 244-3151
Mailing address
2857 WOODS COVE RD, SCOTTSBORO, AL 35768-7559
(562) 244-3151
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4265
AL
Other
Enumeration date
08/14/2018
Last updated
10/09/2018
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