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Individual

TARA JEAN PRETE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
190 OVERTHRUST RD, EVANSTON, WY 82930
(307) 789-4224
(307) 789-4225
Mailing address
PO BOX 2910, EVANSTON, WY 82931-2910
(307) 789-4224
(307) 789-4225

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PCSW-1173
WY
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PCSW-1173
WYOMING MENTAL HEALTH PROFESSIONAL LICENSING
WY
Enumeration date
02/03/2022
Last updated
07/01/2024
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