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1700107448
MARY MILLER TATUM
FORT WALTON BEACH, FL
NPI
1700107448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA11089)
Enumeration Date
2010-06-16
Last Update Date
2011-09-06
Business Address
-- MARY MILLER TATUM M.Ed, CCC-SLP
122 EGLIN PKWY NE
FORT WALTON BEACH, FL 32548-4917
Phone number: 850-863-9973
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Mailing Address
-- MARY MILLER TATUM M.Ed, CCC-SLP
122 EGLIN PKWY NE
FORT WALTON BEACH, FL 32548-4917
Phone number: 850-863-9973
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