Individual
BONNIE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP, CCC-L
Contact information
Practice address
538 E OAK ST, BROWNSTOWN, IL 62418-1302
(618) 427-5104
Mailing address
538 E OAK ST, BROWNSTOWN, IL 62418-1302
(618) 427-5104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.008431
IL
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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