Individual
TARA HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8216 S 35 RD, CADILLAC, MI 49601-8958
(231) 878-9177
Mailing address
8216 S 35 RD, CADILLAC, MI 49601-8958
(231) 878-9177
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
6801098594
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13579
—
MI
Enumeration date
02/25/2019
Last updated
02/25/2019
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