Individual
BRENDA JURGENSON DUGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH/LANGUAGE PATH
Contact information
Practice address
8690 MARY MEADOWS DR, TEMPERANCE, MI 48182-9110
(734) 847-6217
Mailing address
8690 MARY MEADOWS DR, TEMPERANCE, MI 48182-9110
(734) 847-6217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 6911
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SP 6911
—
OH
Enumeration date
02/25/2014
Last updated
02/25/2014
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