Individual
TRICIA LYNN BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
770 MITCHELL AVE, BLAINE, WA 98230-9149
(360) 332-0236
(360) 332-0555
Mailing address
770 MITCHELL AVE, BLAINE, WA 98230-9149
(360) 332-0236
(360) 332-0555
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP 60212300
WA
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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