Tara Wittrock, CCC/SLP
NPI #1871906891 in Moose Lake, Minnesota
Provider Information
- NPI Number
- 1871906891
- Entity Type
- Individual
- Name
- Tara Wittrock, CCC/SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC/SLP
- Enumeration Date
- Jun 6, 2014
- Last Updated
- Aug 14, 2023
Practice Location
- Address
- 4791 COUNTY ROAD 10 STE 102
- City
- Moose Lake
- State
- Minnesota
- ZIP Code
- 55767-9221
- Phone
- (218) 485-2020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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