Individual
MEGAN TADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 W MAIN ST, CLARKSBURG, WV 26301-2843
(304) 363-7323
(304) 366-2483
Mailing address
601 LOCUST AVE, FAIRMONT, WV 26554-4721
(304) 363-7323
(304) 366-2483
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2011
WV
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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