Individual
MRS. HEATHER BLANKENSHIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP/L
Contact information
Practice address
40W310 LAFOX RD, ST CHARLES, IL 60175-6588
(630) 444-0077
Mailing address
1718 SIMMS ST, AURORA, IL 60504-4789
(630) 453-3805
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
08/23/2010
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