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1366134090
TARA NIX
WASILLA, AK
NPI
1366134090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
Mrs. TARA NIX MS, ICADC
591 S KNIK GOOSE BAY RD
WASILLA, AK 99654-8062
Phone number: 334-805-9477
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Mailing Address
Mrs. TARA NIX MS, ICADC
3622 OAK RIDGE LN
DOTHAN, AL 36303-9318
Phone number: 334-805-9477
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