Individual
TARA N PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1105 MEMORIAL DR, ARTESIA, NM 88210-1189
(575) 746-9848
(575) 746-9840
Mailing address
1700 W MAIN ST, STE A2, ARTESIA, NM 88210-3711
(575) 746-8890
(575) 887-9579
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09084
NM
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/23/2010
Last updated
10/28/2019
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