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Individual

MRS. IRRAH MARIE TARIMAN DICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1060 HARRISON RD, COLORADO SPRINGS, CO 80905-3586
(719) 579-2000
Mailing address
2385 SAINT PAUL DR, COLORADO SPRINGS, CO 80910-3204
(719) 678-2011

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0004873
CO

Other

Enumeration date
08/10/2023
Last updated
08/10/2023
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