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Cassandra Boggon
NPI 1770803496 · on the registry since 2010 · sole proprietor
Practice
- Address
- 16203 Wyoming St
Detroit, MI 48221 - Phone
- (313) 864-2788
- Fax
- (866) 267-7903
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-06-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan