Individual
MRS. TARA BECK ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP/AP
Contact information
Practice address
603 FOXHOUND CT, SIMPSONVILLE, SC 29680-6710
(864) 230-5475
Mailing address
PO BOX 80194, SIMPSONVILLE, SC 29680-0004
(864) 230-5475
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4817
SC
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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