Individual
LAUREN TADLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 PARK ST, GROVE CITY, OH 43123-3215
(614) 801-8800
Mailing address
3205 PARK ST, GROVE CITY, OH 43123-3215
(614) 801-8800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11152
OH
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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