Individual
TARA CONAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 E SUNSHINE ST, SPRINGFIELD, MO 65804-1313
(417) 523-4500
(417) 523-7595
Mailing address
2965 W LASALLE ST, SPRINGFIELD, MO 65807-8733
(573) 391-3085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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