Individual
MRS. MARY DENISE BONYUN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
112 COLCHESTER AVE, BURLINGTON, VT 05401-1417
(802) 847-4519
(802) 847-4664
Mailing address
1183 S HOLLOW RD, STOWE, VT 05672-5121
(802) 847-4519
(802) 847-4664
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
99190
VT
Other
Enumeration date
01/12/2006
Last updated
07/08/2007
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