Individual
KAYLA MARIE BOGGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
110 MORDINGTON AVE, CHARLES TOWN, WV 25414-1693
(304) 725-9741
Mailing address
23 RYAN CT, SHEPHERDSTOWN, WV 25443-4306
(304) 288-3576
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WV
Other
Enumeration date
11/04/2009
Last updated
08/18/2014
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