Individual
BONNIE WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
83 EAST AVE STE 313, NORWALK, CT 06851-4902
(917) 763-9785
Mailing address
83 EAST AVE STE 313, NORWALK, CT 06851-4902
(917) 763-9785
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003290
CT
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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