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1003001819
SARA M TAVORA
PORT HURON, MI
NPI
1003001819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801089286)
Enumeration Date
2007-09-14
Last Update Date
2019-09-17
Business Address
SARA M TAVORA LMSW
520 SUPERIOR ST
PORT HURON, MI 48060-3838
Phone number: 810-984-4202
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Mailing Address
SARA M TAVORA LMSW
520 SUPERIOR ST
PORT HURON, MI 48060-3838
Phone number: 810-984-4202
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