Individual
TARA LOVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 COMMERCE DR, SKOWHEGAN, ME 04976-4823
(207) 873-2136
(207) 660-4529
Mailing address
5 COMMERCE DR, SKOWHEGAN, ME 04976-4823
(207) 873-2136
(207) 660-4529
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MC16641
ME
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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