Individual
LAURA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2479 S CLERMONT ST, DENVER, CO 80222-6588
(720) 974-7275
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0002086
CO
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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