Individual
TARA PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N DALTON AVE, VALLIANT, OK 74764
(580) 933-7031
Mailing address
300 N DALTON AVE, VALLIANT, OK 74764
(580) 933-7031
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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