Individual
ADIRA BAGOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7587 NW 25TH ST, MARGATE, FL 33063-8136
(954) 263-5397
Mailing address
7587 NW 25TH ST, MARGATE, FL 33063-8136
(954) 263-5397
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA7733
FL
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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