Individual
BONNIE NICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
1725 ASHLEY CIR, SUITE 206, BOWLING GREEN, KY 42104-3337
(270) 303-6839
Mailing address
1725 ASHLEY CIR, SUITE 206, BOWLING GREEN, KY 42104-3337
(270) 303-6839
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3401
KY
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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