Individual
BLAKE W JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. CF-SLP
Contact information
Practice address
5225 S LOOP 289 # 2, LUBBOCK, TX 79424-1363
(806) 780-4180
Mailing address
5220 SPRING VALLEY RD STE 400, DALLAS, TX 75254-2512
(214) 466-1340
(214) 466-1378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/24/2021
Last updated
04/24/2021
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