Individual
MISS BLAIR DEBRUCQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
825 TIFFANIE CT, LEXINGTON, KY 40514-4082
(859) 806-5717
Mailing address
772 MALLARD CV, HARRODSBURG, KY 40330-8310
(315) 761-1055
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
KY
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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