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Individual

BLAIR RIDGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2612 METAIRIE RD, METAIRIE, LA 70001-5426
(504) 309-5679
Mailing address
4517 CRAIG AVE, METAIRIE, LA 70003-7604
(504) 615-5865

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7390
LA

Other

Enumeration date
01/11/2016
Last updated
01/11/2016
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