Individual
CLAUDINE RENE BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2770 STYLES RD, ALVA, FL 33920-4017
(239) 292-8142
Mailing address
2770 STYLES RD, ALVA, FL 33920-4017
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12335
FL
Other
Enumeration date
07/05/2013
Last updated
08/13/2013
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