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1821363326
THERESA TARGAL
TRAVERSE CITY, MI
NPI
1821363326
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: MI 12084553)
Enumeration Date
2012-03-15
Last Update Date
2012-03-15
Business Address
THERESA TARGAL M.A., CCC-SLP
808 S GARFIELD AVE SUITE A
TRAVERSE CITY, MI 49686-3464
Phone number: 231-929-2354
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Mailing Address
THERESA TARGAL M.A., CCC-SLP
8801 SECTION LINE RD
INTERLOCHEN, MI 49643-9344
Phone number: 248-739-1694
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