MS. Judith Ann Blaine, CCC - SLP
NPI #1619435823 in Wake Forest, North Carolina
Provider Information
- NPI Number
- 1619435823
- Entity Type
- Individual
- Name
- MS. Judith Ann Blaine, CCC - SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC - SLP
- Enumeration Date
- Mar 6, 2019
- Last Updated
- Mar 6, 2019
Practice Location
- Address
- 1209 LITCHBOROUGH WAY
- City
- Wake Forest
- State
- North Carolina
- ZIP Code
- 27587-3614
- Phone
- (919) 624-0849
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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