Individual
TARAN ALLAN BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCC SLP
Contact information
Practice address
1400 BELLINGER ST, EAU CLAIRE, WI 54703-5222
(715) 838-5222
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4888
WI
Other
Enumeration date
07/31/2020
Last updated
10/02/2020
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