Individual
JUSTINE BLYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
750 E LOUISIANA ST, SAINT CROIX FALLS, WI 54024-9501
(715) 483-2713
Mailing address
905 2ND AVE SW, PINE CITY, MN 55063-1408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3999
WI
235Z00000X
Speech-Language Pathologist
6243
MN
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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