Individual
TARA KRISTINA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 312, WELLS, MN 56097-0312
(507) 553-5810
Mailing address
24242 380TH AVE, WINNEBAGO, MN 56098-3355
(507) 525-2178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12074326
MN
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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