Individual
MRS. CHELSEA SAMANTHA BLANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3706 FORT LINCOLN DR NE, WASHINGTON, DC 20018-4303
(301) 395-6704
Mailing address
3706 FORT LINCOLN DR NE, WASHINGTON, DC 20018-4303
(301) 395-6704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2202006925
VA
235Z00000X
Speech-Language Pathologist
Primary
SLP000578
DC
Other
Enumeration date
08/03/2012
Last updated
01/11/2019
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