Individual
TARA ELIZABETH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
11007 RADCLIFF DR, ALLENDALE, MI 49401
(616) 895-6688
Mailing address
3412 WALLACE CT SW APT 1, GRANDVILLE, MI 49418-2920
(616) 340-4374
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001762
MI
Other
Enumeration date
09/12/2014
Last updated
09/07/2019
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