Individual
TARA DECARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHSBA, CMSBA
Contact information
Practice address
111 S BROAD ST STE 209, LANCASTER, OH 43130-4383
(440) 234-2006
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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