Willow Bloom Therapy LLC
NPI #1518742485 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1518742485
- Entity Type
- Organization
- Organization Name
- Willow Bloom Therapy LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 29, 2023
- Last Updated
- Aug 29, 2023
Practice Location
- Address
- 70 HORSESHOE CIR
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88007-4579
- Phone
- (575) 571-0326
Authorized Official
- Name
- MARIA LESLIE WANDEMBERG, M.A., CCC-SLP
- Title
- OWNER/PARTNER
- Phone
- (575) 571-0326
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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