Individual
TARA JEAN GORENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 GRAHAM DR, A1, STAMFORD, NY 12167-1238
(607) 441-8371
Mailing address
4 GRAHAM DR, A1, STAMFORD, NY 12167-1238
(607) 441-8371
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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