Individual
DARA SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1531 W LEIGHTON LN, BLOOMINGTON, IN 47403-8949
(812) 219-2508
Mailing address
1531 W LEIGHTON LN, BLOOMINGTON, IN 47403-8949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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