Individual
MS. JILL GWALTNEY BLANKENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5350 VINNING ST, CONCORD, NC 28027-2936
(704) 783-2580
Mailing address
5350 VINNING ST, CONCORD, NC 28027-2936
(704) 783-2580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5410
NC
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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