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Individual
MS. SARA BOGGS
Active
Individual
MS. SARA BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-8793
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094740
—
OH
Enumeration date
05/11/2007
Last updated
08/18/2017
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