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1740654763
TARA KOSMA
PORTLAND, ME
NPI
1740654763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ME LC11417)
Enumeration Date
2015-11-16
Last Update Date
2015-11-16
Business Address
-- TARA KOSMA LCSW
11 KENWOOD ST
PORTLAND, ME 04102-2704
Phone number: 207-671-1198
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Mailing Address
-- TARA KOSMA LCSW
11 KENWOOD ST
PORTLAND, ME 04102-2704
Phone number: 207-671-1198
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