TARA GRISSOM

MANDEVILLE, LA
NPI1023783255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  4782)
Enumeration Date2021-08-10
Last Update Date2021-08-10
Business Address
TARA GRISSOM MS CCC-SLP
1011 N CAUSEWAY BLVD STE 25
MANDEVILLE, LA 70471-3282
Phone number: 985-626-8403
Mailing Address
TARA GRISSOM MS CCC-SLP
568 PELICAN RIDGE DR
MADISONVILLE, LA 70447-9248
Phone number: 985-264-6856
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