Individual
TAMARA BLACKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 W 400 N, PRICE, UT 84501-2440
(435) 613-3159
Mailing address
251 W 400 N, PRICE, UT 84501-2440
(435) 613-3159
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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