Individual
CLAUDINE BAZELAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
12627 SAN JOSE BLVD, SUITE 506, JACKSONVILLE, FL 32223-2662
(904) 374-1414
Mailing address
11701 PALM LAKE DR, APARTMENT 1722, JACKSONVILLE, FL 32218-0903
(347) 821-7746
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ 5662
FL
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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