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Individual
KATRINA BLANTON
Active
Individual
KATRINA BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
35914
TX
235Z00000X
Speech-Language Pathologist
Primary
108893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
05
—
207164901
—
TX
Enumeration date
01/11/2011
Last updated
09/18/2014
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