Individual
MRS. TARA MARIE MCINTURF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
125 SAGE DR, NICHOLASVILLE, KY 40356-8077
(859) 684-0475
Mailing address
125 SAGE DR, NICHOLASVILLE, KY 40356-8077
(859) 684-0475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4121
KY
Other
Enumeration date
07/13/2011
Last updated
08/16/2019
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