Individual
MARY BLENKINSOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4212 CORAL PARK DR, BRUNSWICK, GA 31520-3016
(912) 996-2069
(912) 265-0041
Mailing address
4212 CORAL PARK DR, BRUNSWICK, GA 31520-3016
(912) 996-2069
(912) 265-0041
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009266
GA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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