Individual
KARA LOY BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP,CLT/CDT
Contact information
Practice address
701 W MAIN ST, SUITE 10, DUNCAN, OK 73533-4673
(405) 921-3347
Mailing address
1726 E BOIS D ARC AVE, DUNCAN, OK 73533-9428
(405) 921-3347
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3740
OK
235Z00000X
Speech-Language Pathologist
SA9320
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002677000
—
FL
Enumeration date
05/08/2008
Last updated
02/20/2013
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