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Individual

MARILYN BOHNSACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11960 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3209
(866) 433-9555
Mailing address
11960 WESTLINE INDUSTRIAL DR, SAINT LOUIS, MO 63146-3209
(866) 433-9555

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0409869
MO

Other

Enumeration date
01/07/2016
Last updated
01/07/2016
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