Individual
DEBORAH PAAS BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
15322 GOOSE CREEK ROAD, PRAIRIE GROVE, AR 72753
(479) 530-4693
Mailing address
15322 GOOSE CREEK ROAD, PRAIRIE GROVE, AR 72753
(479) 530-4693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
524
AR
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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