MARY M BLAIR

FORT WORTH, TX
NPI1750651378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: TX  105753)
Enumeration Date2012-01-12
Last Update Date2012-06-06
Business Address
-- MARY M BLAIR CCC-SLP
1111 SUMMIT AVE
FORT WORTH, TX 76102
Phone number: 817-555-5555
Mailing Address
-- MARY M BLAIR CCC-SLP
555 SUMMIT
FORT WORTH, TX 76131
Phone number: