Individual
MARIE BLOEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CF-SLP
Contact information
Practice address
1957 W DICKENS AVE, CHICAGO, IL 60614-3934
(773) 698-6535
Mailing address
1957 W DICKENS AVE, CHICAGO, IL 60614-3934
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
242.003829
IL
Other
Enumeration date
02/06/2016
Last updated
02/06/2016
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