Individual
MS. TIANN RAE BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8001 W 5TH ST, BOWDLE, SD 57428-0556
(307) 337-7799
Mailing address
PO BOX 556, BOWDLE, SD 57428-0556
(605) 850-1172
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
729-SLP
SD
Other
Enumeration date
05/29/2013
Last updated
09/10/2024
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