Individual
AMANDA PAGELS BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 BIG BETHEL RD, HAMPTON, VA 23666-1946
(757) 268-3546
Mailing address
75 BROGDEN LN, HAMPTON, VA 23666-1909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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