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1720557119
TARA C PASQUE
GROSSE POINTE, MI
NPI
1720557119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MI 7101005127)
Enumeration Date
2018-11-15
Last Update Date
2018-11-15
Business Address
TARA C PASQUE M.A., CCC-SLP
17150 WATERLOO ST STE 200
GROSSE POINTE, MI 48230-1201
Phone number: 313-374-3740
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Mailing Address
TARA C PASQUE M.A., CCC-SLP
17150 WATERLOO ST STE 200
GROSSE POINTE, MI 48230-1201
Phone number: 313-473-4730
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