Individual
TARA DAHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, MA, MS
Contact information
Practice address
217 POCAHONTAS LN, DEFOREST, WI 53532-1051
(715) 529-7736
Mailing address
217 POCAHONTAS LN, DEFOREST, WI 53532-1051
(715) 529-7736
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6159-154
WI
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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