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Individual
TARA CELLETTI
Active
Individual
TARA CELLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61177679
WA
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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