Individual
CAROL ROSE BLOMQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
1317 E 66TH ST, BROOKLYN, NY 11234-5632
(718) 975-0488
Mailing address
1317 E 66TH ST, BROOKLYN, NY 11234-5632
(718) 975-0488
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011998-1
NY
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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