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Search › Indiana › 235Z00000X

Jessica Blake, M.S., CCC-SLP

NPI 1699940221 · on the registry since 2008

Practice

Address
19670 State Road 120
Bristol, IN 46507
Phone
(574) 294-6197
Fax
(574) 296-9158
Organisation at this address
Adec Inc
Adec Inc
Adec Inc
Adec Inc
Adec Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana