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Individual

TARA GENEA YATES NEWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT, CEAP

Contact information

Practice address
2101 W JOHN CARPENTER FREEWAY, IRVING, TX 75063
(404) 861-0612
Mailing address
6234 HOLLY SPRINGS PKWY STE D9, WOODSTOCK, GA 30188-3051

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001037
GA

Other

Enumeration date
03/19/2024
Last updated
03/19/2024
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