Individual
MS. MIRANDA MICHELLE BONNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
129 NE PARKS VIEW CT, LEES SUMMIT, MO 64064-2353
(816) 588-3782
Mailing address
1453 SW MANOR LAKE DR, LEES SUMMIT, MO 64082-4182
(660) 232-2298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2008029063
MO
Other
Enumeration date
10/12/2007
Last updated
09/23/2008
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