Individual
TARA JOY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1763 FERNSIDE DR, TOCCOA, GA 30577-8095
(706) 886-6521
Mailing address
PO BOX 1513, CLAYTON, GA 30525-0038
(631) 487-4165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
04/07/2019
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