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MS. MELANIE BLAIR SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1942450523

Individual Registrant:
MS. MELANIE  BLAIR SLP
Gender: F
Sole Proprietor

Location and contact information for practice:
1413 BLUE SPRING CT  SAINT AUGUSTINE, FL 32092-2454 US
Tel: 904-615-1503  Fax: --

Contact information for business:
1413 BLUE SPRING COURT  ST AUGUSTINE, FL 32092-1256 US
Tel: 904-615-1503  Fax: --

Registration Information:
NPI: 1942450523
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
FLSZ4613

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LICENSESZ4613FL01




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