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Individual

CINDY L BLAKEMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
INDEPENDENCE 30 SCHOOL DISTRICT, 218 N PLEASANT ST, INDEPENDENCE, MO 64050-2655
(816) 521-2700
(816) 521-2999
Mailing address
218 N PLEASANT ST, INDEPENDENCE, MO 64050-2655
(816) 521-2700
(816) 521-2999

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105627
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
463064600
MO
Enumeration date
02/22/2007
Last updated
02/19/2009
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