Individual
ANN DENSMORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
200 S JORDAN AVE, BLOOMINGTON, IN 47405-7002
(812) 855-6251
(812) 855-5561
Mailing address
722 PEPPERRIDGE DR, BLOOMINGTON, IN 47401-9882
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001555
IN
Other
Enumeration date
10/21/2005
Last updated
07/08/2007
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