Individual
TARA MEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3723 FORESTBROOK RD STE 103C, MYRTLE BEACH, SC 29588-9254
(843) 902-8439
Mailing address
3723 FORESTBROOK RD STE 103C, MYRTLE BEACH, SC 29588-9254
(843) 902-8439
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/26/2007
Last updated
08/30/2016
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