Individual
ANNIE ROSE BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
52 GRIFFITH ST, JERSEY CITY, NJ 07307-1516
(609) 410-9575
Mailing address
52 GRIFFITH ST, JERSEY CITY, NJ 07307-1516
(609) 410-9575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
034446-01
NY
235Z00000X
Speech-Language Pathologist
Primary
41YS01293700
NJ
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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