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Individual

MADISON BUGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
463 S LYON AVE, MARSHALL, MO 65340-1926
(386) 241-7618
Mailing address
PO BOX 517, NUNDA, NY 14517-0517

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
030982
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
030982
NY
Enumeration date
01/04/2022
Last updated
03/11/2026
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