NPI | 1114312964 |
---|---|
Former Legal Business Name | DAWN S BLOMBERG, M.S., CCC-SLP, LLC |
Entity Type | Organization |
Authorized Contact | DAWN S BLOMBERG Owner 206-963-6252 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00001454) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2015-03-30 |