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Individual
MRS. TARA LEIGH WEBSTER
Active
Individual
MRS. TARA LEIGH WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SC1659
MD
104100000X
Social Worker
19058
MD
1041C0700X
Clinical Social Worker
Primary
19058
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259147-000
MAGELLAN BEHAVIORAL HEALTH
MD
01
—
346646
MHN/TRICARE
MD
01
—
517251
OPTUM/UBH
MD
05
—
520202700
—
MD
05
—
609550001
—
MD
01
—
7840093.
AETNA
MD
01
—
R968
CAREFIRST
MD
Enumeration date
01/14/2011
Last updated
02/22/2016
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