Individual
TANNER LOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CFY-SLP
Contact information
Practice address
1000 S DOUGLAS HWY, GILLETTE, WY 82716-4908
(307) 688-7163
Mailing address
1000 S DOUGLAS HWY, GILLETTE, WY 82716-4908
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
07/19/2019
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