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Individual

MRS. CASEY JANE BLACKBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
402 ROGERS PARKWAY, THE KESSLER CENTER, ROCHESTER, NY 14617
(585) 957-7179
(585) 924-7049
Mailing address
402 ROGERS PARKWAY, THE KESSLER CENTER, ROCHESTER, NY 14617
(585) 957-7179
(585) 924-7049

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
010723
NY
235Z00000X
Speech-Language Pathologist
Primary
021891
NY

Other

Enumeration date
07/18/2012
Last updated
04/17/2015
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