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Bonita Petersen, CCC-SLP
NPI 1326355728 · on the registry since 2010 · sole proprietor
Practice
- Address
- 4571 W Chain Mill Ct
Hanover, IN 47243 - Phone
- (812) 866-2515
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana