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1730879933
TARA B SWANSON
SOUTHLAKE, TX
NPI
1730879933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-10
Last Update Date
2023-05-10
Business Address
TARA B SWANSON
2104 GREENBRIAR DR
SOUTHLAKE, TX 76092-8355
Phone number: 817-442-9022
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Mailing Address
TARA B SWANSON
709 SMITH AVE
LAKE BLUFF, IL 60044-1639
Phone number: 847-602-8272
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