Individual
OLIVIA BOOROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1609 W 4TH ST UNIT A, LAWRENCE, KS 66044-4616
(919) 218-6728
Mailing address
1609 W 4TH ST UNIT A, LAWRENCE, KS 66044-4616
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5129
KS
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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