Individual
ANGELA BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CPO 1943, BEREA, KY 40404-0001
(859) 985-3808
Mailing address
CPO 1943, BEREA, KY 40404-0001
(859) 985-3808
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
200407401
KY
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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