Individual
CAROLYN BLOOMBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
1424 S MAIN ST STE 2, ADRIAN, MI 49221-4309
(517) 312-1711
Mailing address
3100 S WINTER ST APT E21, ADRIAN, MI 49221-8760
(906) 284-9364
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000797
MI
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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