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Individual

TARA SKINNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
425 S MAIN ST, DECATUR, AR 72722-9799
(479) 212-5030
(479) 212-5029
Mailing address
PO BOX 130, ROGERS, AR 72757-0130
(479) 212-5030
(479) 212-5029

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
AR

Other

Enumeration date
04/09/2025
Last updated
04/09/2025
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