Individual
MRS. BERNICE DARKOA BLANKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
3151 SOUTHFORK PKWY, MANVEL, TX 77578-1521
(832) 917-6576
Mailing address
18914 GENTLE COVE CT, HOUSTON, TX 77084-7710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111401
TX
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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