Organization
BLOOM & SPEAK BILINGUAL TX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIZETTE VIRISIMO (CEO)
(480) 241-6442
Entity
Organization
Contact information
Practice address
4848 E ROOSEVELT ST, APT. 2037, PHOENIX, AZ 85008-7327
(480) 648-3502
(480) 499-5879
Mailing address
PO BOX 15774, PHOENIX, AZ 85060-5774
(480) 648-3502
(480) 499-5879
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7427
AZ
Other
Enumeration date
01/03/2012
Last updated
09/19/2012
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