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Individual

MRS. JUSTINE M BLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
32 DOUGLAS LN, RIDGEFIELD, CT 06877-1514
(914) 582-6655
(203) 244-5826
Mailing address
32 DOUGLAS LN, RIDGEFIELD, CT 06877-1514
(914) 582-6655
(203) 244-5826

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
004086
CT
235Z00000X
Speech-Language Pathologist
Primary
011783
NY

Other

Enumeration date
03/31/2009
Last updated
03/31/2009
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