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Organization
BLOOM AND BLOSSOM SPEECH THERAPY, PLLC
Active
Organization
BLOOM AND BLOSSOM SPEECH THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY BOOTH SLP (OWNER)
(217) 994-1615
Entity
Organization
Contact information
Practice address
1609 WINDWARD PT, CHAMPAIGN, IL 61821-6962
(217) 994-1615
Mailing address
1609 WINDWARD PT, CHAMPAIGN, IL 61821-6962
(217) 994-1615
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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