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1699012690
TARA CARSON
SANTA CRUZ, CA
NPI
1699012690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2013-01-10
Last Update Date
2013-01-10
Business Address
-- TARA CARSON
1255 38TH AVE SPC 122
SANTA CRUZ, CA 95062-3203
Phone number: 831-325-4430
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Mailing Address
-- TARA CARSON
1255 38TH AVE SPC 122
SANTA CRUZ, CA 95062-3203
Phone number:
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