Individual
JERRI BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
4528 HWY 500, GEORGETOWN, LA 71432
(318) 827-5306
Mailing address
PO BOX 208, COLFAX, LA 71417-0208
(318) 627-3274
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2365
LA
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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