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1558975904
THERESA PATRICIA BLACKWOOD
PORT ORANGE, FL
NPI
1558975904
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL 15690)
Enumeration Date
2020-09-03
Last Update Date
2020-09-03
Business Address
THERESA PATRICIA BLACKWOOD SLP
446 WILTSHIRE BLVD
PORT ORANGE, FL 32127-6026
Phone number: 386-212-9840
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Mailing Address
THERESA PATRICIA BLACKWOOD SLP
446 WILTSHIRE BLVD
PORT ORANGE, FL 32127-6026
Phone number: 386-212-9840
Copy
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