Individual
TARA K. PULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 WASHINGTON ST, SUITE 300, SANFORD, ME 04073-3031
(207) 318-4831
Mailing address
49 PLANTATION LN, WELLS, ME 04090-6466
(207) 318-4831
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC9957
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431537699
—
ME
Enumeration date
06/20/2007
Last updated
11/20/2012
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