Individual
MS. TAMARA BOGGIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 COUNTRYSIDE DR, METAMORA, IL 61548-8601
(309) 697-0880
Mailing address
611 COUNTRYSIDE DR, METAMORA, IL 61548-8601
(309) 697-0880
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1202952
IL
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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