Individual
CHARLOTTE ALLENE BLAKESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12580 OLD SEWARD HWY, ANCHORAGE, AK 99515-3506
(907) 301-4588
Mailing address
17061 MONTE RD, EAGLE RIVER, AK 99577-8102
(503) 360-7074
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
229085
AK
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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