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Organization
THE COLORFUL SPOT PEDIATRIC THERAPY LLC
Active
Organization
THE COLORFUL SPOT PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH CHRISTINE WIKUM M.A., CCC-SLP (OWNER/SPEECH PATHOLOGIST)
(920) 857-7925
Entity
Organization
Contact information
Practice address
4906 WHISPERING CREEK CT, MAINEVILLE, OH 45039-2503
(920) 857-7925
Mailing address
4906 WHISPERING CREEK CT, MAINEVILLE, OH 45039-2503
(920) 857-7925
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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