Individual
MS. DEBORAH ANN TATGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4301 EVERGREEN DR, VADNAIS HEIGHTS, MN 55127-7810
(651) 407-6477
Mailing address
4301 EVERGREEN DR, VADNAIS HEIGHTS, MN 55127-7810
(651) 407-6477
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6062
MN
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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