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1912926478
TARA ANN BOETTCHER
MANSFIELD, TX
NPI
1912926478
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Former Name
TARA ANN VANRIE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 101905)
Enumeration Date
2006-07-18
Last Update Date
2020-07-31
Business Address
Mrs. TARA ANN BOETTCHER MS, CCC-SLP
1475 HERITAGE PKWY STE 221
MANSFIELD, TX 76063-2740
Phone number: 682-400-8132
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Mailing Address
Mrs. TARA ANN BOETTCHER MS, CCC-SLP
PO BOX 838
MANSFIELD, TX 76063-0838
Phone number: 817-584-9086
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