Individual
MACKENZIE LYNN BUGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
(608) 819-6394
Mailing address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6639-154
WI
Other
Enumeration date
06/05/2023
Last updated
12/06/2024
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