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Individual

TARA KING SLATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
614 WILD RIDGE CIR, LAFAYETTE, CO 80026-2583
(303) 620-6778
Mailing address
614 WILD RIDGE CIR, LAFAYETTE, CO 80026-2583
(303) 620-6778

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0004312
CO

Other

Enumeration date
07/22/2021
Last updated
07/21/2022
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