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1942466180
LESLEY ANNE BLACKFORD
SPRINGFIELD, IL
NPI
1942466180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IL 146.004772)
Enumeration Date
2008-08-06
Last Update Date
2008-08-06
Business Address
MRS. LESLEY ANNE BLACKFORD M.S. CCC/SLP
3400 W WASHINGTON ST
SPRINGFIELD, IL 62711-7917
Phone number: 217-787-9600
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Mailing Address
MRS. LESLEY ANNE BLACKFORD M.S. CCC/SLP
1813 HOLMES AVE
SPRINGFIELD, IL 62704-4035
Phone number: 217-522-6504
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