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Individual

MRS. BONNIE DEE HEINTSKILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
8949 N DEERBROOK TRL, BROWN DEER, WI 53223-2431
(414) 586-6280
(414) 365-3823
Mailing address
307 BEL AIRE DR, THIENSVILLE, WI 53092-1429
(262) 242-1642
(262) 242-1642

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1426-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42748900
WI
Enumeration date
02/13/2007
Last updated
07/09/2007
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