Organization
BLOOM SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA N CONNEMARA MS CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(414) 687-5986
Entity
Organization
Contact information
Practice address
1017 W GLEN OAKS LN STE 140, MEQUON, WI 53092-3371
(414) 533-8050
Mailing address
833 E GLENBROOK RD, BAYSIDE, WI 53217-1436
(414) 687-5986
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/21/2022
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