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Individual
MRS. TARA LANELL WATTS
Active
Individual
MRS. TARA LANELL WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CW016180
PA
1041C0700X
Clinical Social Worker
096247
NY
1041C0700X
Clinical Social Worker
44SC06279300
NJ
1041C0700X
Clinical Social Worker
Primary
CW016180
PA
Other
Enumeration date
01/23/2009
Last updated
09/11/2024
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