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Organization
COMMUNICATION BLOOMS SPEECH THERAPY INC.
Active
Organization
COMMUNICATION BLOOMS SPEECH THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE SHIBA M.S. CCC-SLP (OWNER/SLP)
(209) 242-4606
Entity
Organization
Contact information
Practice address
1812 W KETTLEMAN LN STE 1, LODI, CA 95242-4209
(209) 242-4606
Mailing address
16966 E FRONT ST, LINDEN, CA 95236-9751
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
05/11/2026
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