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Individual

ALEXANDRA NICHOLE BOGENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757
Mailing address
637 11TH ST, WEST DES MOINES, IA 50265-3510
(515) 865-1976

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
087509
IA

Other

Enumeration date
01/18/2022
Last updated
01/18/2022
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