Individual
MRS. TARA CRAIG ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
355 OAK GROVE RD, SPARTANBURG, SC 29301-2537
(864) 595-4225
Mailing address
629 BRANCH VIEW DR, BOILING SPRINGS, SC 29316-4836
(870) 674-4061
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.4636 SLP
SC
235Z00000X
Speech-Language Pathologist
SP#2069
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149797721
—
AR
Enumeration date
05/04/2006
Last updated
04/21/2010
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