Individual
REBECCA BOGART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 MCDOUGALL AVE, ENUMCLAW, WA 98022-7410
(360) 702-7577
Mailing address
2929 MCDOUGALL AVE, ENUMCLAW, WA 98022-7410
(360) 702-7577
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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