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1922682814
TARA LANDIS
EMMETT, ID
NPI
1922682814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2021-05-07
Last Update Date
2021-05-07
Business Address
TARA LANDIS LCSW
5001 CHERRY GULCH LN
EMMETT, ID 83617-5123
Phone number: 208-365-3437
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Mailing Address
TARA LANDIS LCSW
5001 CHERRY GULCH LN
EMMETT, ID 83617-5123
Phone number:
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