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Organization
WHITE TARA THERAPY LLC
Active
Organization
WHITE TARA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP A ZUCKERMAN (OWNER)
(845) 741-8898
Entity
Organization
Contact information
Practice address
45 CLARK RD, ELDRED, NY 12732-5012
(845) 741-8898
Mailing address
45 CLARK RD, ELDRED, NY 12732-5012
(845) 741-8898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/19/2024
Last updated
01/23/2025
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