Individual
ANNIE ELIZABETH BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500A FORUM DR, ROLLA, MO 65401-4602
(573) 458-0100
Mailing address
500A FORUM DR, ROLLA, MO 65401-4602
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
2021045985
MO
235Z00000X
Speech-Language Pathologist
Primary
2024032167
MO
Other
Enumeration date
12/04/2023
Last updated
10/12/2024
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