Individual
MS. JUANTA T BUGGAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
5941 DENNIS MACK LN, ETHEL, LA 70730-4031
(225) 244-1823
(225) 683-4882
Mailing address
5941 DENNIS MACK LN, ETHEL, LA 70730-4031
(225) 244-1823
(225) 683-4882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5824
LA
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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