TARA T BURRELL

POCATELLO, ID
NPI1922260686
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1741)
Enumeration Date2008-06-25
Last Update Date2008-06-25
Business Address
Mrs. TARA T BURRELL M.S, CCC-SLP
1110 CALL CREEK DR STE 7
POCATELLO, ID 83201-3072
Phone number: 208-233-4660
Mailing Address
Mrs. TARA T BURRELL M.S, CCC-SLP
1110 CALL CREEK DR STE 7
POCATELLO, ID 83201-3072
Phone number: 208-233-4660
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