Individual
SOPHIE DAWN BLANKENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
18 CHESTNUT ST STE 200, WORCESTER, MA 01608-1557
(508) 757-2756
Mailing address
18 CHESTNUT ST STE 200, WORCESTER, MA 01608-1557
(508) 757-2756
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP100514
MA
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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