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1023407368
TARA COBURN
DILLON, SC
NPI
1023407368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: SC 10671)
Enumeration Date
2015-01-09
Last Update Date
2017-09-13
Business Address
Mrs. TARA COBURN Social Worker
207 E MONROE ST
DILLON, SC 29536-2557
Phone number: 843-774-4337
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Mailing Address
Mrs. TARA COBURN Social Worker
712 N MAIN ST
NICHOLS, SC 29581-7237
Phone number: 843-845-2074
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