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Organization
VBL SPEECH THERAPY SERVICES
Active
Organization
VBL SPEECH THERAPY SERVICES
Active
Other names
Vanessa Bonney-Laramore DBA VBL Speech Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA BONNEY-LARAMORE M.H.S.CCC-SLP/L (OWNER/SPEECH PATHOLOGIST)
(773) 495-7423
Entity
Organization
Contact information
Practice address
8631 S FRANCISCO AVE, CHICAGO, IL 60652-3834
(773) 495-7423
Mailing address
8631 S FRANCISCO AVE, CHICAGO, IL 60652-3834
(773) 495-7423
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146002339
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636471
BLUE SHIELD PROVIDER NUMBER
IL
Enumeration date
06/24/2012
Last updated
06/24/2012
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