Individual
MARY ELIZABETH BLONDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2212 OUTER CIRCLE DR, CRESTWOOD, KY 40014-9113
(502) 836-0701
(502) 243-9848
Mailing address
1318 MORGAN AVE, LOUISVILLE, KY 40213-1722
(502) 592-8554
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0772
KY
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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