Individual
MRS. EMILY BOGUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 850-3766
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MI
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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