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Individual
MS. ELIZABETH BLANCO
Active
Individual
MS. ELIZABETH BLANCO
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
Primary
104697
TX
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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