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Individual
MRS. TARAH R DAVIS
Active
Individual
MRS. TARAH R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
005551
CT
1041C0700X
Clinical Social Worker
Primary
10074
SC
Other
Enumeration date
08/04/2006
Last updated
10/31/2016
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