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Individual

TARA LIBBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
190 LENOX ST, NORWOOD, MA 02062-3416
(781) 769-8670
Mailing address
4 DOUGLAS DR, EAST BRIDGEWATER, MA 02333-2548
(781) 686-2859
(781) 769-0197

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
MA2259413
MA

Other

Enumeration date
10/19/2010
Last updated
10/19/2010
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