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1790555621
TARA HIGGINBOTHAM ROUSE
VIRGINIA BEACH, VA
NPI
1790555621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904016142)
Enumeration Date
2024-01-02
Last Update Date
2024-01-02
Business Address
TARA HIGGINBOTHAM ROUSE LCSW
3145 VIRGINIA BEACH BLVD STE 108
VIRGINIA BEACH, VA 23452-6950
Phone number: 804-385-4977
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Mailing Address
TARA HIGGINBOTHAM ROUSE LCSW
628 CAREN DR
VIRGINIA BEACH, VA 23452-3727
Phone number: 804-385-4977
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