WILLIAM BLACKBURN

COVINGTON, LA
NPI1447805064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  7785)
Enumeration Date2019-08-09
Last Update Date2019-08-09
Business Address
WILLIAM BLACKBURN MS
648 CRESTWOOD BLVD
COVINGTON, LA 70433-8261
Phone number: 985-805-2555
Mailing Address
WILLIAM BLACKBURN MS
648 CRESTWOOD BLVD
COVINGTON, LA 70433-8261
Phone number: