Organization
INCLUSIVE REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY BLAKE M.ED.,CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(470) 504-4905
Entity
Organization
Contact information
Practice address
133 GOLD MILL PL, CANTON, GA 30114-4025
(703) 400-5518
Mailing address
133 GOLD MILL PL, CANTON, GA 30114-4025
(470) 504-4905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/12/2021
Last updated
11/04/2025
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