Individual
CLAIRE TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6030 VILLAGE DR STE 100, LINCOLN, NE 68516-4773
(402) 484-0326
Mailing address
118 HERRON ST, FORT OGLETHORPE, GA 30742-3126
(706) 861-7471
(706) 861-7472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002445
GA
Other
Enumeration date
11/07/2016
Last updated
01/03/2025
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