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Individual

TATUM DE LA GARZA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1000 W POPLAR ST, ROGERS, AR 72756-4242
(479) 631-7678
Mailing address
1000 W POPLAR ST, ROGERS, AR 72756-4242
(615) 809-5619

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
06/28/2022
Last updated
04/07/2025
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