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1619332368
TARA HARRIS
BASTROP, LA
NPI
1619332368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-23
Last Update Date
2018-04-25
Business Address
TARA HARRIS
209 W JEFFERSON AVE
BASTROP, LA 71220-4543
Phone number: 318-239-3890
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Mailing Address
TARA HARRIS
209 W JEFFERSON AVE
BASTROP, LA 71220-4543
Phone number:
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