Individual
MRS. MECHELLE RENAE BLANDEBURGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
701 FOULK RD STE 2A, WILMINGTON, DE 19803-3733
(877) 407-3422
Mailing address
103 ASCOT CT, BEAR, DE 19701-2365
(302) 838-1933
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01-0000688
DE
Other
Enumeration date
12/19/2007
Last updated
12/24/2024
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