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Organization
THERABLOOM, LLC
Active
Organization
THERABLOOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN LUCKETT MS, CCC-SLP (SLP/OWNER)
(260) 437-8918
Entity
Organization
Contact information
Practice address
6376 CLORE LN, CRESTWOOD, KY 40014-8042
(260) 437-8918
Mailing address
9462 BROWNSBORO RD # 102, LOUISVILLE, KY 40241-1118
(260) 437-8918
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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