Individual
CASIE RUTH BLAIR-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1410 WADE ST, INDIANAPOLIS, IN 46203-4340
(317) 226-4234
Mailing address
8950 CARRIAGE LN, INDIANAPOLIS, IN 46256-2212
(317) 612-1254
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008025A
IN
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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