Individual
ANGELA BLACKSHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
150 LONG RD STE 150, CHESTERFIELD, MO 63005-1237
(636) 733-3330
(636) 733-3332
Mailing address
150 LONG RD STE 150, CHESTERFIELD, MO 63005-1237
(636) 733-3330
(636) 733-3332
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01057
MO
Other
Enumeration date
02/11/2007
Last updated
07/08/2007
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