Individual
MRS. BONNELYNN MARIE SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
104 WALDEMERE WAY, LAKEWOOD, NY 14750-1172
(716) 763-7729
Mailing address
104 WALDEMERE WAY, LAKEWOOD, NY 14750-1172
(716) 763-7729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0044171
NY
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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