Individual
BONNIE SUSAN CLUKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10722 TROPICAL MOON CT, ESTERO, FL 33928-2476
(239) 272-1156
Mailing address
10722 TROPICAL MOON CT, ESTERO, FL 33928-2476
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7190
FL
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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