Individual
TATUM KOLICKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3222 W FULLER DR, ANTHEM, AZ 85086-6004
(847) 596-0445
Mailing address
2905 W CARAVAGGIO LN, PHOENIX, AZ 85086-2258
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA16194
AZ
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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