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1063780948
TARA LEE
CORVALLIS, OR
NPI
1063780948
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Former Name
TARA WALDRON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-12-07
Last Update Date
2015-06-16
Business Address
Ms. TARA LEE MA, QMHP
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
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Mailing Address
Ms. TARA LEE MA, QMHP
530 NW 27TH ST
CORVALLIS, OR 97330-5223
Phone number: 541-766-6835
Copy
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