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Individual
TARA ANN COCURULLO
Active
Individual
TARA ANN COCURULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110877
NY
1041C0700X
Clinical Social Worker
098712
NY
Other
Enumeration date
11/27/2020
Last updated
11/04/2024
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