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Individual

JORDAN BLASIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-5555
(920) 430-4745
Mailing address
1643 LYNWOOD LN, GREEN BAY, WI 54311-6039
(920) 680-3011

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3536-154
WI

Other

Enumeration date
06/16/2011
Last updated
06/16/2011
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