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Individual
TARA NITA TOLBERT TOWNSEND
Active
Individual
TARA NITA TOLBERT TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004134
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW004134
STATE LICENSE
GA
Enumeration date
02/01/2012
Last updated
09/17/2025
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