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Individual
TAERA WORKS
Active
Individual
TAERA WORKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, QMHS
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
I.2608603
OH
104100000X
Social Worker
Primary
S.2309590
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155688
—
OH
Enumeration date
08/27/2019
Last updated
09/09/2026
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