Individual
MRS. DEBORAH D. BOGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SP
Contact information
Practice address
15305 HIGHWAY 15, DECATUR, MS 39327-7208
(601) 635-4041
Mailing address
2698 MULEY RD, DECATUR, MS 39327-9122
(601) 635-2825
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0401
MS
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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