Individual
GRACE GEEYOUNG BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2600 N STUART ST, ARLINGTON, VA 22207-5126
(703) 228-6275
Mailing address
1426 N QUINCY ST, ARLINGTON, VA 22207-3646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007800
VA
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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