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Individual

MRS. BONNIE L YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
3717 TAYLORSVILLE RD, LOUISVILLE, KY 40220-1333
(502) 459-4292
(502) 452-9079
Mailing address
3717 TAYLORSVILLE RD, LOUISVILLE, KY 40220-1333
(502) 459-5292

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
235Z00000X
Speech-Language Pathologist
Primary
138249
KY

Other

Enumeration date
10/25/2006
Last updated
06/06/2016
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