Individual
JOANNA BAZEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
425 5TH AVE NW, ATTALLA, AL 35954-2214
(256) 538-2273
(256) 538-9373
Mailing address
425 5TH AVE NW, ATTALLA, AL 35954-2214
(256) 538-2273
(256) 538-9373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1947
AL
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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