Individual
TARA KISLAUSKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 CORDAGE PARK CIR, PLYMOUTH, MA 02360-7331
(508) 830-3444
Mailing address
36 CORDAGE PARK CIR, PLYMOUTH, MA 02360-7331
(508) 830-3444
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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