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Individual

TARA MENEFEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11603 RIDGE DR, SUGAR CREEK, MO 64054-1573
(816) 833-1069
Mailing address
11603 RIDGE DR, SUGAR CREEK, MO 64054-1573

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2004244250A
KS
Enumeration date
05/12/2007
Last updated
07/09/2007
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