Individual
CYNTHIA BONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 MAIN ST, BLOOMER, WI 54724-1637
(715) 568-4669
Mailing address
523 COUNTY HIGHWAY O, STANLEY, WI 54768-6036
(715) 644-3621
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1157-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42584900
—
WI
Enumeration date
06/01/2007
Last updated
07/08/2007
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