Individual
JULIA BURROUGHS TACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7672 LESOURDSVILLE WEST CHESTER RD, WEST CHESTER, OH 45069-1233
(513) 777-2201
Mailing address
6619 COLERIDGE AVE, CINCINNATI, OH 45213-1936
(513) 746-5546
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.14013
OH
Other
Enumeration date
09/03/2020
Last updated
01/19/2022
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