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Individual
MRS. TAMARA BATRICE CLESTINE VANG
Active
Individual
MRS. TAMARA BATRICE CLESTINE VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRADC, MARS, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01954
KS
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15228
MO
174400000X
Specialist
15342
MO
Other
Enumeration date
04/05/2024
Last updated
06/23/2025
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