Individual
MRS. JENNIFER BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 HARDING AVE, LOCKPORT, NY 14094-6021
(716) 478-4406
Mailing address
27 LARKSPUR LN, AMHERST, NY 14228-1976
(716) 478-4406
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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