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Individual

MRS. ERICA L. BLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
2370 MAIN ST, TUCKER, GA 30084-4456
(510) 205-3563
Mailing address
1906 SILVASTONE DR, DECATUR, GA 30033-1037
(510) 205-3563

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009226
GA

Other

Enumeration date
01/31/2019
Last updated
01/31/2019
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