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Individual
MRS. TARA JEAN LARKIN
Active
Individual
MRS. TARA JEAN LARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
2200
NY
174400000X
Specialist
Primary
2200
NY
Other
Enumeration date
02/04/2011
Last updated
08/07/2012
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