Individual
TARA WHITNEY COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4262 TOM CAT TRL, LONDON, KY 40741-6531
(606) 813-8898
Mailing address
PO BOX 2956, LONDON, KY 40743-2956
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
142205
KY
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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