Individual
TARA WHAREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 WYATT DR, LAS CRUCES, NM 88005-2925
(575) 652-3155
Mailing address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 526-6688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
06/28/2023
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