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Individual

MARGERY L BLANC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
700 RAY O VAC DR STE 200, MADISON, WI 53711-2476
(608) 278-9161
Mailing address
700 RAY O VAC DR STE 200, MADISON, WI 53711-2476
(608) 278-9161

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1751-154
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
42770400
WI
Enumeration date
10/23/2006
Last updated
07/08/2007
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