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1043563505
TARA STARR PHELPS
FORT WAYNE, IN
NPI
1043563505
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Former Name
TARA S BURGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22004392A)
Enumeration Date
2012-10-22
Last Update Date
2022-09-09
Business Address
Mrs. TARA STARR PHELPS M.A.,CCC-SLP
3110 E COLISEUM BLVD
FORT WAYNE, IN 46805-1554
Phone number: 260-408-6732
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Mailing Address
Mrs. TARA STARR PHELPS M.A.,CCC-SLP
422 UNION STATION DR
FORT WAYNE, IN 46814-8965
Phone number: 260-450-7630
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