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Individual
CHANEL BLAYLOCK
Active
Individual
CHANEL BLAYLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30003629
NC
235Z00000X
Speech-Language Pathologist
Primary
SLP001062
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53-6001131
—
DC
Enumeration date
01/12/2018
Last updated
05/29/2026
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