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Organization
SPROUT AND BLOOM THERAPY SERVICES PC
Active
Organization
SPROUT AND BLOOM THERAPY SERVICES PC
Active
Other names
Sprout & Bloom Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEE FULTON M.S. CCC/SLP, M.S. (OWNER)
(213) 400-4447
Entity
Organization
Contact information
Practice address
8801 FAST PARK DR STE 301, RALEIGH, NC 27617-4853
(213) 400-4447
(213) 631-4140
Mailing address
8801 FAST PARK DR STE 301, RALEIGH, NC 27617-4853
(213) 400-4447
(213) 631-4140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
06/16/2026
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