KATIE TACKABERRY

SPARTA, NJ
NPI1548801103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NJ  41YS00884700)
Enumeration Date2019-10-04
Last Update Date2019-10-04
Business Address
KATIE TACKABERRY CCC-SLP
10 GAIL CT
SPARTA, NJ 07871-3439
Phone number: 973-579-6980
Mailing Address
KATIE TACKABERRY CCC-SLP
1706 WHITE PINE CT
CEDAR KNOLLS, NJ 07927-1336
Phone number: 973-270-3484
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