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Individual

MS. JERRIE SCHMALZER BLACKLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. C.C.C.

Contact information

Practice address
512 FEARRINGTON POST, PITTSBORO, NC 27312-8568
(919) 533-6988
(919) 533-6989
Mailing address
512 FEARRINGTON POST, PITTSBORO, NC 27312-8568
(919) 533-6988
(919) 533-6989

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3366
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15988
BLUE CROSS BLUE SHIELD
NC
05
7415988
NC
Enumeration date
10/16/2006
Last updated
07/29/2016
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