Individual
MARY BLAKELY BARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4 S PARK ST APT 2, LEBANON, NH 03766-1476
(856) 745-1897
Mailing address
4 S PARK ST APT 2, LEBANON, NH 03766-1476
(856) 745-1897
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
144.0134277
VT
235Z00000X
Speech-Language Pathologist
2165
NH
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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