Individual
ANI BALCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 HOPEWELL RD STE 100, DOWNINGTOWN, PA 19335-1047
(484) 224-5885
Mailing address
1502 SPRUCE AVE, WILMINGTON, DE 19805-2148
(302) 557-3700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
08/08/2024
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