Individual
MRS. TARA BROOKE LAFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
1 CHIMNEY POINT DRIVE, OGDENSBURG, NY 13669
(315) 394-6256
(315) 394-6446
Mailing address
1 SOMERSET RD, POTSDAM, NY 13676-1633
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401669-1
NY
Other
Enumeration date
06/27/2014
Last updated
07/30/2015
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