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Adira Bagoon, CCC-SLP

Speech-Language Pathologist, in Margate, FL. Individual provider (NPI-1).

NPI number1801060348
StatusActive
Last updated in NPPESApr 16, 2008

Details

NPI
1801060348
Entity type
Individual (NPI-1)
Name
Adira Bagoon
Credential
CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 16, 2008
Last updated
Apr 16, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SA7733FLYes

Practice location

7587 Nw 25th St
Margate, FL 33063-8136

Phone 954-263-5397

Mailing address

7587 Nw 25th St
Margate, FL 33063-8136

Phone 954-263-5397

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