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Individual
TARA HANSON
Active
Individual
TARA HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
ISW4552
FL
1041C0700X
Clinical Social Worker
Primary
120393
MA
Other
Enumeration date
06/24/2008
Last updated
10/04/2021
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