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T'ESSA LANAE BLOSSOM SLPA

Speech-Language Assistant >> Specialist/Technologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1154891539

Individual Registrant:
 T'ESSA LANAE BLOSSOM SLPA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
35105 KENAI SPUR HWY STE A  SOLDOTNA, AK 99669-7658 US
Tel: 907-260-7444  Fax: --

Contact information for business:
35105 KENAI SPUR HWY STE A  SOLDOTNA, AK 99669-7658 US
Tel: 907-260-7444  Fax: --

Registration Information:
NPI: 1154891539
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2355S0801XSpeech, Language and Hearing Service Providers
Specialist/Technologist
Speech-Language Assistant
AK116336

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AK - Page 1



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