Individual
TARA DANIELLE HOLLINGSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5088 N 58TH WEST AVE, TULSA, OK 74126-4295
(918) 800-3823
Mailing address
5088 N 58TH WEST AVE, TULSA, OK 74126-4295
(918) 800-3823
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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