Individual
MRS. CHRISTA VICTORIA BLAZEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC,SLP
Contact information
Practice address
4810 MEADOWS PKWY, WELDON SPRING, MO 63304-2227
(636) 851-5973
Mailing address
4810 MEADOWS PKWY, WELDON SPRING, MO 63304-2227
(636) 851-5973
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0308920
MO
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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