Organization
LAFAYETTE COUNTY PUBLIC SCHOOLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE M. V MACCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(870) 510-2841
Entity
Organization
Contact information
Practice address
712 CHESTNUT STREET, LEWISVILLE, AR 71845-0950
(870) 510-2841
(870) 921-5095
Mailing address
PO BOX 950, LEWISVILLE, AR 71845-0950
(870) 510-2841
(870) 921-5095
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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