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Individual
PATRICIA L. BLACKARD
Active
Individual
PATRICIA L. BLACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
102393
TX
235Z00000X
Speech-Language Pathologist
Primary
4968
NM
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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