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1326556325
CHANEL BLAYLOCK
WASHINGTON, DC
NPI
1326556325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: DC SLP001062)
Enumeration Date
2018-01-12
Last Update Date
2018-01-12
Business Address
CHANEL BLAYLOCK MS CCC-SLP
4058 MINNESOTA AVE NE
WASHINGTON, DC 20019-3540
Phone number: 919-524-9118
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Mailing Address
CHANEL BLAYLOCK MS CCC-SLP
615 SWANN AVE APT 505
ALEXANDRIA, VA 22301-1464
Phone number: 919-524-9118
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