Individual
MACKENZIE LYNN BUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
440 13TH ST, PRAIRIE DU SAC, WI 53578-1252
(608) 643-5990
Mailing address
188 MARIAHWYNN TER, LODI, WI 53555-8802
(815) 651-5369
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6639-154
WI
Other
Enumeration date
06/05/2023
Last updated
05/28/2026
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