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1821597006
MISTY BLAYLOCK
BEREA, KY
NPI
1821597006
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Former Name
MISTY PARROTT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: KY 138621)
Enumeration Date
2018-02-02
Last Update Date
2018-02-02
Business Address
MISTY BLAYLOCK MA, CCC-SLP
1043 BROOKLYN BLVD
BEREA, KY 40403-1090
Phone number: 859-228-0551
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Mailing Address
MISTY BLAYLOCK MA, CCC-SLP
1013 CHERRY CT
RICHMOND, KY 40475-8902
Phone number:
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