Individual
BLAISE S KREISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10007 LENOX ST, CLERMONT, FL 34711-9114
(352) 321-9171
Mailing address
10007 LENOX ST, CLERMONT, FL 34711-9114
(352) 321-9171
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ9752
FL
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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