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1972739134
TARA WALLACE
MADISON, WI
NPI
1972739134
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Former Name
TARA GILDAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-06-02
Last Update Date
2009-06-02
Business Address
-- TARA WALLACE
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number: 608-280-2700
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Mailing Address
-- TARA WALLACE
625 W WASHINGTON AVE
MADISON, WI 53703-2637
Phone number: 608-280-2700
Copy
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