Individual
NANCY BOGGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 10TH ST NE APT 2205, ATLANTA, GA 30309-3735
(478) 731-0485
Mailing address
250 10TH ST NE APT 2205, ATLANTA, GA 30309-3735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008197
GA
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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