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Individual

ANNA TEDDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. CCC- SLP

Contact information

Practice address
5620 N 23RD ST, TACOMA, WA 98406-2908
(704) 689-0146
Mailing address
5620 N 23RD ST, TACOMA, WA 98406-2908

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4343
TN
235Z00000X
Speech-Language Pathologist
Primary
LL61265913
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2206180
WA
Enumeration date
07/12/2021
Last updated
08/31/2023
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