Individual
ALEXANDRIA M BLAKEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2865 E MAIN ST, HUMBOLDT, TN 38343-3070
(731) 784-8405
Mailing address
3921 OLD MEDINA RD, MEDINA, TN 38355-8632
(731) 616-6601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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