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Cassandra Boggon
Specialist in Detroit, Michigan
NPI 1770803496

Cassandra Boggon is a Specialist based in Detroit, MI. Cassandra Boggon practices in Detroit, MI. The NPI Number for Cassandra Boggon is 1770803496 and holds a License No. 2701115101 (Michigan).

The current practice location address for Cassandra Boggon is 16203 Wyoming St, Detroit, MI and can be reached out via phone at 313-864-2788 and via fax at 866-267-7903.

Location: 16203 Wyoming St, Detroit, MI, 48228-3144
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770803496
Provider Name
Cassandra Boggon
Credential
Provider Entity Type
Individual
Gender
Female
Address
16203 Wyoming St, Detroit, MI, 48228-3144
Phone Number
313-864-2788
Fax Number
866-267-7903
Provider Enumeration Date
06/03/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16203 Wyoming St
City
Detroit
State
Michigan
Zip
48221-3417
Phone Number
313-864-2788
Fax Number
866-267-7903
person
Provider Business Mailing Address Details
Address
16203 Wyoming St
City
Detroit
State
Michigan
Zip
48221-3417
Phone Number
313-864-2788
Fax Number
866-267-7903
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2701115101 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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