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Jordan Boggess
Speech-Language Assistant in Clarksville, Tennessee
NPI 1912529850

Jordan Boggess is a Speech-Language Assistant based in Cadiz, TN and is specialized in Speech-Language Assistant. Jordan Boggess practices in Clarksville, TN. The NPI Number for Jordan Boggess is 1912529850 and holds a License No. 614 (Tennessee).

The current practice location address for Jordan Boggess is 851 Professional Park Dr, Clarksville, TN and can be reached out via phone at 931-542-2168. You can also correspond with Jordan Boggess through the mailing address at 405 ADAMS MILL RD, CADIZ, KY - 42211-9632 (mailing address contact number: ).

Location: 851 Professional Park Dr, Clarksville, TN, 42211-9632
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Provider Profile Details
NPI Number
1912529850
Provider Name
Jordan Boggess
Credential
Provider Entity Type
Individual
Gender
Female
Address
851 Professional Park Dr, Clarksville, TN, 42211-9632
Phone Number
931-542-2168
Fax Number
Provider Enumeration Date
05/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
614 01 SLP-A REGISTRATION
institution
Provider Business Practice Location Address Details
Address
851 Professional Park Dr
City
State
Zip
37040-5257
Phone Number
931-542-2168
Fax Number
person
Provider Business Mailing Address Details
Address
851 Professional Park Dr
City
State
Zip
37040-5257
Phone Number
931-542-2168
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
License No.
614 ()
Definition
Definition to come...
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