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Individual

MRS. TARA FORD ROMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
213 ACADEMIC DR, FORT GORDON, GA 30905-5932
(706) 787-2254
(706) 787-8286
Mailing address
300 EAST HOSPITAL RD BLD 300, FORT EISENHOWER, GA 30905
(706) 787-2734

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
429
GA
104100000X
Social Worker
Primary
MSW005278
GA

Other

Enumeration date
03/27/2012
Last updated
03/11/2024
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