Individual
KELLY M BONNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCSLP
Contact information
Practice address
29000 INFORMATION LN STE 300, EASTON, MD 21601-7038
(410) 822-2213
Mailing address
29000 INFORMATION LN STE 300, EASTON, MD 21601-7038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4044
MD
Other
Enumeration date
03/23/2007
Last updated
09/13/2021
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