TARA A EDICK

LATHAM, NY
NPI1972831014
Former NameTARA A MAINE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  017451)
Enumeration Date2009-12-01
Last Update Date2009-12-01
Business Address
-- TARA A EDICK MS CCC-SLP
623 NEW LOUDON RD
LATHAM, NY 12110-4031
Phone number: 518-782-1178
Mailing Address
-- TARA A EDICK MS CCC-SLP
623 NEW LOUDON RD
LATHAM, NY 12110-4031
Phone number:
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