Individual
MRS. BONNIE G. GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1659 E NOXON RD, LAGRANGEVILLE, NY 12540-4302
(845) 223-8030
Mailing address
1659 E NOXON RD, LAGRANGEVILLE, NY 12540-4302
(845) 223-8030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002068-1
NY
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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