Individual
MISS TARA CHAE HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
261 SHAKER MILL RD, BOWLING GREEN, KY 42103-9029
(270) 779-2502
Mailing address
261 SHAKER MILL RD, BOWLING GREEN, KY 42103-9029
(270) 779-2502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13-004
KY
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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