Individual
TARA VICTORIA ANSPACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
110 W SPRINGFIELD AVE, UNION, MO 63084-1755
(636) 583-1202
Mailing address
328 ROLLING MEADOW LN, UNION, MO 63084-1104
(717) 333-4598
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014025042
MO
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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