Individual
MS. TARRA L BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP
Contact information
Practice address
1431 DIVISION ST, GREEN BAY, WI 54303-3121
(920) 619-3459
Mailing address
1431 DIVISION ST, GREEN BAY, WI 54303-3121
(920) 619-3459
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3038-154
WI
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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