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Individual

CHANEL MONIQUE BOGANY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CF-SLP

Contact information

Practice address
1200 N CENTRAL AVE STE 110, KISSIMMEE, FL 34741-4439
(407) 201-7429
Mailing address
204 E SOUTH ST UNIT 6062, ORLANDO, FL 32801-3556
(678) 314-6490

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ10412
FL

Other

Enumeration date
09/26/2021
Last updated
09/26/2021
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