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Organization
TARA BLURY LLC
Active
Organization
TARA BLURY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA BLURY LMSW (OWNER)
(248) 930-5620
Entity
Organization
Contact information
Practice address
1838 PORTADOWN SW, BYRON CENTER, MI 49315-8081
(248) 930-5620
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
(517) 676-3438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801091145
MI
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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