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1780208777
TARA SMITH
PHOENIX, AZ
NPI
1780208777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ LPC-19031)
Enumeration Date
2020-06-04
Last Update Date
2021-08-02
Business Address
TARA SMITH
5060 N 19TH AVE # 207-7
PHOENIX, AZ 85015-3210
Phone number: 520-730-5585
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Mailing Address
TARA SMITH
1815 W COLTER ST APT 27
PHOENIX, AZ 85015-3044
Phone number: 520-730-5585
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