Individual
ALICIA MARLEEN TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
9909 E 100 S, GREENTOWN, IN 46936-9163
(765) 628-0605
Mailing address
2579 S 500 E, ROCHESTER, IN 46975-8422
(574) 339-9075
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002214A
IN
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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