Organization
BLOSSOM SPEECH THERAPY LLC
Active
Other names
Blossom Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN MACWILLIAM M.S. CCC-SLP (OWNER/SPEECH THERAPIST)
(508) 208-4006
Entity
Organization
Contact information
Practice address
13 HOWLAND RD, LAKEVILLE, MA 02347-2209
(508) 208-4006
Mailing address
13 HOWLAND RD, LAKEVILLE, MA 02347-2209
(508) 208-4006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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