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Individual
DR. TARA SHANETT MUKORO
Active
Individual
DR. TARA SHANETT MUKORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
74850
TX
101YM0800X
Mental Health Counselor
Primary
74850
TX
101YP2500X
Professional Counselor
74850
TX
Other
Enumeration date
01/08/2018
Last updated
06/11/2024
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