Individual
MRS. MARILYN V BONNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCSLP
Contact information
Practice address
141 MAPLE AVE, FRANKLIN, WV 26807-0700
(304) 358-2325
Mailing address
HC 80 BOX 6, KENNA, WV 25248-9402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0079
WV
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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