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Individual
TARA MCCOY
Active
Individual
TARA MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103264
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103264
—
NY
Enumeration date
11/04/2019
Last updated
11/28/2025
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