Individual
TANYA WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
708 S FLEMING ST, FARMINGTON, MO 63640-1137
(573) 701-1340
(573) 701-1349
Mailing address
708 SOUTH FLEMING STREET, FARMINGTON, MO 63640
(573) 701-1340
(573) 701-1349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0307850
MO
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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