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Individual

KATHLEEN TANNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC/SLP

Contact information

Practice address
1101 N AVENUE E, HASKELL, TX 79521-3625
(325) 338-2468
Mailing address
PO BOX 176, HASKELL, TX 79521-0176
(325) 338-2468

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
12270
TX

Other

Enumeration date
09/09/2021
Last updated
09/09/2021
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