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Individual
JUDITH BLACKBURN
Active
Individual
JUDITH BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05213
MD
Other
Enumeration date
06/23/2009
Last updated
09/05/2012
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