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MARY BLAYLOCK

Individual Provider (NPI-1) Active

Specialist/Technologist, Speech-Language Assistant

Provider Information

NPI Number
1194550566
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
2700 DERHAKE RD, FLORISSANT, MO, 630333918
Phone
(314) 831-0440

Specialties & Taxonomies

Specialist/Technologist, Speech-Language Assistant Primary

All Addresses

LOCATION

2700 DERHAKE RD

FLORISSANT, MO, 630333918

(314) 831-0440

MAILING

17 ROBIN LN

FENTON, MO, 630265665

(314) 712-6843