Individual
LAUREN NICOLE BLANCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
15 RESEARCH DR, UNIT 1, WOODBRIDGE, CT 06525-2356
(203) 387-1401
(203) 387-1415
Mailing address
PO BOX 3568, WOODBRIDGE, CT 06525-0141
(203) 387-1401
(203) 387-1451
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005138
CT
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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