Individual
BLAIR ENDICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
55878 RAINTREE DR, OSCEOLA, IN 46561-9541
(574) 850-8702
Mailing address
55878 RAINTREE DR, OSCEOLA, IN 46561-9541
(574) 850-8702
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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