Individual
MRS. TASHINA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
150 N ROSENBERGER AVE, EVANSVILLE, IN 47712-6503
(812) 491-3856
(812) 759-1586
Mailing address
2017 GLENWOOD AVE, ELDORADO, IL 62930-2128
(618) 841-2860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010197
IL
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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