Individual
KASEY BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
642 N MAIN ST, MARION, VA 24354-3341
(276) 783-7529
Mailing address
952 COUNTRY CLUB RD, MARION, VA 24354-1508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007878
VA
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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