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1063791788
TARA DARICE CENOVA
PORTLAND, OR
NPI
1063791788
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 11955)
Enumeration Date
2011-08-11
Last Update Date
2019-05-01
Business Address
Mrs. TARA DARICE CENOVA M.S., CCC-SLP
9135 SW BARNES RD STE 561
PORTLAND, OR 97225-6643
Phone number: 503-216-2339
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Mailing Address
Mrs. TARA DARICE CENOVA M.S., CCC-SLP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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