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Individual
TEASIA TARVER
Active
Individual
TEASIA TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
169324
OH
Other
Enumeration date
12/20/2019
Last updated
11/04/2021
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