Individual
MS. TARA MICHELLE HURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
11 SAGAMORE AVE, MEDFORD, MA 02155-2107
(781) 648-9728
Mailing address
11 SAGAMORE AVE, MEDFORD, MA 02155-2107
(781) 648-9728
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1354
MA
Other
Enumeration date
06/06/2009
Last updated
06/08/2009
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