Organization
WISHBLOW SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA BOLLINGER MS., CCC-SLP (OWNER, RENDERING PROVIDER.)
(970) 620-0698
Entity
Organization
Contact information
Practice address
23822 E MAXWELL LN, LIBERTY LAKE, WA 99019-7534
(970) 620-0698
Mailing address
23822 E MAXWELL LN, LIBERTY LAKE, WA 99019-7534
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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