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Individual
TYLER COLDIRON
Active
Individual
TYLER COLDIRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CF SPEECH THERAPY
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
PCET003362
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP012024
GA
Other
Enumeration date
06/25/2021
Last updated
04/23/2022
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