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Individual

NICOLE BOGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSED, CCC-SLP

Contact information

Practice address
462 BARCELONA LN, VIRGINIA BEACH, VA 23452-5321
(757) 474-1249
Mailing address
462 BARCELONA LN, VIRGINIA BEACH, VA 23452-5321

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004530
VA

Other

Enumeration date
03/25/2008
Last updated
03/25/2008
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